| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
822 |
727 |
$44K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
711 |
656 |
$40K |
| V2020 |
Frames, purchases |
1,186 |
1,125 |
$39K |
| 92015 |
Determination of refractive state |
1,633 |
1,469 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,073 |
1,013 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,064 |
1,004 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
13 |
$338.18 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
25 |
24 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
18 |
17 |
$0.00 |