| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,003 |
1,911 |
$144K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,373 |
1,334 |
$141K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
635 |
603 |
$62K |
| 92015 |
Determination of refractive state |
2,528 |
2,381 |
$42K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
436 |
423 |
$29K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
773 |
756 |
$23K |
| V2760 |
Scratch resistant coating, per lens |
585 |
575 |
$11K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
151 |
151 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
26 |
25 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
36 |
32 |
$2K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
13 |
$0.00 |