| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
5,448 |
2,353 |
$336K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,041 |
2,881 |
$287K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,062 |
1,919 |
$223K |
| V2020 |
Frames, purchases |
3,540 |
3,100 |
$149K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,888 |
2,548 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
207 |
200 |
$10K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
197 |
95 |
$9K |
| 92015 |
Determination of refractive state |
1,427 |
1,353 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34 |
27 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$1K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
13 |
$0.00 |
| 1036F |
|
15 |
14 |
$0.00 |