| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,553 |
8,886 |
$703K |
| V2020 |
Frames, purchases |
12,545 |
11,594 |
$391K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,088 |
3,798 |
$379K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
7,996 |
5,070 |
$234K |
| 92015 |
Determination of refractive state |
16,472 |
15,254 |
$221K |
| V2755 |
U-v lens, per lens |
5,966 |
5,516 |
$76K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,737 |
1,819 |
$75K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
933 |
660 |
$26K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
93 |
73 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
24 |
15 |
$739.20 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
36 |
30 |
$0.00 |
| 1036F |
|
19 |
16 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
13 |
$0.00 |