| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
134 |
128 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
79 |
69 |
$7K |
| 92015 |
Determination of refractive state |
295 |
267 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
30 |
30 |
$2K |
| 92250 |
|
34 |
26 |
$950.88 |
| V2750 |
Anti-reflective coating, per lens |
19 |
19 |
$933.00 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
15 |
15 |
$344.91 |
| V2020 |
Frames, purchases |
165 |
132 |
$193.48 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
24 |
12 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
19 |
14 |
$0.00 |