| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
476 |
472 |
$10K |
| 92015 |
Determination of refractive state |
896 |
896 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
184 |
184 |
$7K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
265 |
264 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
87 |
87 |
$4K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
24 |
24 |
$454.91 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
344 |
337 |
$0.00 |
| 1036F |
|
189 |
185 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
34 |
32 |
$0.00 |