| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
6,594 |
6,573 |
$140K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,358 |
3,355 |
$137K |
| 92015 |
Determination of refractive state |
9,326 |
9,312 |
$82K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,650 |
3,638 |
$78K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,375 |
1,374 |
$59K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,183 |
1,182 |
$50K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
413 |
411 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
129 |
128 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$327.90 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
27 |
27 |
$0.00 |