| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
555 |
532 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
461 |
401 |
$23K |
| 92015 |
Determination of refractive state |
1,358 |
1,176 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
58 |
55 |
$2K |
| V2760 |
Scratch resistant coating, per lens |
162 |
157 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
12 |
$904.05 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |