| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
211 |
208 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
107 |
107 |
$6K |
| V2020 |
Frames, purchases |
285 |
260 |
$6K |
| 92015 |
Determination of refractive state |
375 |
371 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
266 |
241 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
266 |
241 |
$3K |
| G8785 |
Blood pressure reading not documented, reason not given |
13 |
13 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
12 |
12 |
$0.00 |