| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,208 |
1,186 |
$51K |
| V2020 |
Frames, purchases |
924 |
891 |
$18K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
329 |
318 |
$14K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
452 |
441 |
$11K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$189.46 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
570 |
561 |
$0.00 |
| 1036F |
|
576 |
567 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
246 |
242 |
$0.00 |