| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
|
772 |
745 |
$29K |
| 92340 |
|
1,257 |
1,231 |
$25K |
| 92015 |
|
1,459 |
1,409 |
$23K |
| 92004 |
|
460 |
433 |
$18K |
| 99214 |
|
130 |
126 |
$8K |
| V2020 |
Frames, purchases |
1,253 |
1,231 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,125 |
1,103 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
333 |
328 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
560 |
552 |
$2K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
44 |
44 |
$880.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
51 |
51 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
425 |
410 |
$0.00 |
| 1000F |
|
140 |
136 |
$0.00 |
| 1036F |
|
599 |
590 |
$0.00 |