| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
675 |
608 |
$29K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
396 |
382 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,597 |
1,281 |
$19K |
| 92250 |
|
513 |
492 |
$14K |
| 92015 |
Determination of refractive state |
1,018 |
971 |
$10K |
| 92083 |
|
197 |
187 |
$4K |
| 76512 |
|
123 |
62 |
$2K |
| V2020 |
Frames, purchases |
1,219 |
929 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
339 |
304 |
$177.76 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
228 |
178 |
$38.80 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
42 |
39 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
14 |
14 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
42 |
39 |
$0.00 |
| 4004F |
|
42 |
39 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
493 |
392 |
$0.00 |