| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,229 |
1,196 |
$78K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
854 |
832 |
$76K |
| 92015 |
Determination of refractive state |
3,040 |
2,842 |
$13K |
| V2020 |
Frames, purchases |
71 |
71 |
$4K |
| 92250 |
|
105 |
101 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
16 |
12 |
$668.36 |
| 1036F |
|
199 |
193 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
175 |
169 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
198 |
192 |
$0.00 |