| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,135 |
1,081 |
$33K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,075 |
1,057 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
388 |
381 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
423 |
417 |
$5K |
| 92002 |
|
58 |
58 |
$857.83 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
28 |
15 |
$451.32 |
| V2020 |
Frames, purchases |
18 |
16 |
$270.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
16 |
13 |
$132.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,342 |
2,306 |
$57.60 |
| G8482 |
Influenza immunization administered or previously received |
2,518 |
2,485 |
$49.95 |
| 1036F |
|
2,260 |
2,227 |
$15.91 |
| 2023F |
|
115 |
114 |
$0.00 |
| 2022F |
|
283 |
271 |
$0.00 |
| 92015 |
Determination of refractive state |
34 |
31 |
$0.00 |