| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
652 |
650 |
$48K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
428 |
424 |
$23K |
| 92015 |
Determination of refractive state |
1,202 |
1,192 |
$5K |
| V2020 |
Frames, purchases |
65 |
63 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
62 |
30 |
$958.52 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
24 |
12 |
$272.16 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
22 |
12 |
$249.48 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |