| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,531 |
2,464 |
$120K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,670 |
1,606 |
$120K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,123 |
1,827 |
$39K |
| V2020 |
Frames, purchases |
2,314 |
2,239 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
270 |
261 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
955 |
846 |
$10K |
| 92015 |
Determination of refractive state |
527 |
517 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13 |
13 |
$117.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
77 |
76 |
$0.00 |
| G2104 |
Eye imaging validated to match diagnosis from seven standard field stereoscopic photos results documented and reviewed |
13 |
13 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
16 |
16 |
$0.00 |
| 1036F |
|
27 |
27 |
$0.00 |
| V2755 |
U-v lens, per lens |
15 |
12 |
$0.00 |