| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
806 |
783 |
$28K |
| 92015 |
Determination of refractive state |
1,246 |
1,149 |
$23K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,176 |
658 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
172 |
164 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
119 |
70 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
39 |
39 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
63 |
62 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
14 |
$610.54 |
| 1036F |
|
279 |
237 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
204 |
166 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
414 |
355 |
$0.00 |
| 99072 |
|
86 |
81 |
$0.00 |