| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,255 |
1,186 |
$72K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
711 |
680 |
$61K |
| 92015 |
Determination of refractive state |
2,414 |
2,259 |
$29K |
| V2020 |
Frames, purchases |
1,122 |
1,054 |
$26K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
700 |
659 |
$17K |
| 92250 |
|
16 |
12 |
$449.24 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
63 |
59 |
$0.00 |