| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,292 |
2,287 |
$28K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,008 |
1,006 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
852 |
457 |
$13K |
| V2020 |
Frames, purchases |
603 |
598 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
828 |
433 |
$677.00 |
| 92015 |
Determination of refractive state |
742 |
740 |
$172.90 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
26 |
14 |
$91.08 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,477 |
1,471 |
$80.10 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
779 |
778 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
15 |
15 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$0.00 |