| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,662 |
1,479 |
$58K |
| V2020 |
Frames, purchases |
356 |
297 |
$17K |
| 92250 |
|
687 |
634 |
$16K |
| 92015 |
Determination of refractive state |
806 |
714 |
$8K |
| 92226 |
|
334 |
156 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
82 |
53 |
$3K |
| 99072 |
|
918 |
831 |
$3K |
| 68761 |
|
52 |
24 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
18 |
12 |
$740.83 |
| 1036F |
|
1,073 |
948 |
$291.57 |
| 92283 |
|
14 |
14 |
$288.85 |
| G9905 |
Patient not screened for tobacco use |
225 |
191 |
$0.25 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
717 |
560 |
$0.00 |
| 2026F |
|
15 |
12 |
$0.00 |
| A4263 |
Permanent, long term, non-dissolvable lacrimal duct implant, each |
22 |
12 |
$0.00 |