| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
3,917 |
3,727 |
$159K |
| 92014 |
|
2,670 |
2,596 |
$141K |
| 92004 |
|
1,090 |
1,038 |
$80K |
| V2750 |
Anti-reflective coating, per lens |
1,692 |
816 |
$78K |
| 92340 |
|
3,589 |
3,477 |
$60K |
| 92015 |
|
3,847 |
3,720 |
$32K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,526 |
1,219 |
$17K |
| V2020 |
Frames, purchases |
1,272 |
1,227 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,268 |
704 |
$11K |
| V2199 |
Not otherwise classified, single vision lens |
259 |
123 |
$11K |
| 99214 |
|
133 |
123 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
151 |
112 |
$1K |
| 99213 |
|
43 |
39 |
$1K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
28 |
14 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
71 |
38 |
$932.00 |
| 92134 |
|
28 |
25 |
$399.41 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
17 |
12 |
$94.60 |
| 1036F |
|
86 |
86 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
106 |
103 |
$0.00 |