| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
727 |
712 |
$22K |
| 92250 |
|
723 |
714 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
184 |
184 |
$10K |
| 92285 |
|
572 |
562 |
$5K |
| 92083 |
|
247 |
240 |
$3K |
| V2020 |
Frames, purchases |
341 |
337 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
68 |
66 |
$2K |
| 92341 |
|
83 |
83 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
50 |
25 |
$780.52 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
13 |
$273.00 |
| 92133 |
|
12 |
12 |
$160.45 |
| 76512 |
|
92 |
85 |
$152.98 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
14 |
14 |
$120.00 |
| 92015 |
Determination of refractive state |
19 |
19 |
$57.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
28 |
14 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
42 |
39 |
$0.00 |
| G9368 |
At least two orders for high-risk medications from the same drug class not ordered |
12 |
12 |
$0.00 |