| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
539 |
527 |
$53K |
| V2020 |
Frames, purchases |
1,267 |
1,233 |
$42K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
329 |
322 |
$39K |
| 92015 |
Determination of refractive state |
1,301 |
1,272 |
$23K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
731 |
716 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
986 |
954 |
$15K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
868 |
838 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
95 |
89 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
12 |
$943.15 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
74 |
72 |
$0.00 |
| 1036F |
|
415 |
397 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
35 |
34 |
$0.00 |