| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,183 |
2,135 |
$126K |
| V2020 |
Frames, purchases |
4,034 |
3,982 |
$123K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,096 |
2,094 |
$101K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,093 |
876 |
$32K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,299 |
1,192 |
$27K |
| 92015 |
Determination of refractive state |
4,107 |
4,060 |
$20K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,036 |
1,992 |
$19K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
309 |
174 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
169 |
161 |
$6K |
| 92250 |
|
234 |
218 |
$4K |
| 92002 |
|
30 |
30 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$709.40 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
15 |
14 |
$0.00 |