| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
103 |
102 |
$3K |
| V2020 |
Frames, purchases |
42 |
42 |
$820.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
24 |
24 |
$607.12 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
40 |
40 |
$304.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12 |
12 |
$172.00 |
| 1036F |
|
212 |
210 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
236 |
231 |
$0.00 |
| 92015 |
Determination of refractive state |
236 |
236 |
$0.00 |
| 4040F |
|
299 |
293 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
12 |
12 |
$0.00 |