| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,545 |
2,385 |
$116K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,104 |
1,067 |
$60K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
657 |
610 |
$34K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
213 |
185 |
$10K |
| 92015 |
Determination of refractive state |
548 |
480 |
$8K |
| V2020 |
Frames, purchases |
57 |
53 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
19 |
16 |
$802.55 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
14 |
14 |
$633.08 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
57 |
53 |
$342.00 |
| G9905 |
Patient not screened for tobacco use |
1,081 |
1,041 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
653 |
625 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
175 |
171 |
$0.00 |
| 1036F |
|
175 |
171 |
$0.00 |