| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
348 |
348 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
205 |
204 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
57 |
57 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
124 |
124 |
$3K |
| V2020 |
Frames, purchases |
216 |
216 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
271 |
269 |
$0.00 |
| 1036F |
|
122 |
122 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
100 |
100 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
96 |
96 |
$0.00 |