| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,207 |
1,199 |
$71K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
566 |
561 |
$44K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
443 |
436 |
$39K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
676 |
672 |
$28K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
695 |
690 |
$21K |
| 92015 |
Determination of refractive state |
526 |
523 |
$10K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
133 |
131 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
67 |
67 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$867.70 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
25 |
24 |
$300.01 |