| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0620 |
Routine ophthalmological examination including refraction; new patient |
256 |
256 |
$11K |
| V2020 |
Frames, purchases |
438 |
428 |
$7K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
342 |
288 |
$6K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
123 |
123 |
$5K |
| V2025 |
Deluxe frame |
43 |
41 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
71 |
59 |
$1K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
26 |
25 |
$0.00 |
| 1036F |
|
26 |
25 |
$0.00 |