| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
882 |
865 |
$51K |
| V2020 |
Frames, purchases |
723 |
668 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
135 |
130 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
151 |
134 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
62 |
52 |
$1K |
| V2756 |
Eye glass case |
482 |
460 |
$487.72 |
| 92015 |
Determination of refractive state |
350 |
343 |
$15.05 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
45 |
44 |
$0.00 |
| 1036F |
|
303 |
296 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
44 |
43 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
52 |
51 |
$0.00 |