| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
751 |
688 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
427 |
399 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
764 |
703 |
$15K |
| 92083 |
|
374 |
350 |
$12K |
| V2020 |
Frames, purchases |
354 |
221 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
354 |
328 |
$3K |
| 92133 |
|
194 |
175 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
300 |
82 |
$1K |
| 92015 |
Determination of refractive state |
38 |
37 |
$101.50 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
187 |
171 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
140 |
134 |
$0.00 |
| 0517F |
|
31 |
27 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
289 |
270 |
$0.00 |
| 1036F |
|
275 |
259 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
33 |
28 |
$0.00 |