| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,211 |
2,055 |
$175K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,656 |
1,565 |
$100K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
234 |
233 |
$8K |
| V2020 |
Frames, purchases |
252 |
251 |
$7K |
| 92015 |
Determination of refractive state |
3,497 |
3,270 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
158 |
130 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
298 |
225 |
$2K |
| 92250 |
|
15 |
13 |
$518.06 |
| V2760 |
Scratch resistant coating, per lens |
163 |
163 |
$312.20 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
22 |
18 |
$300.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
74 |
50 |
$0.00 |