| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
478 |
456 |
$28K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
367 |
345 |
$14K |
| V2020 |
Frames, purchases |
480 |
461 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
620 |
586 |
$11K |
| 92015 |
Determination of refractive state |
659 |
623 |
$8K |
| 92341 |
|
129 |
127 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
142 |
84 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
38 |
32 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
26 |
13 |
$117.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
15 |
14 |
$102.99 |
| V2756 |
Eye glass case |
86 |
85 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
14 |
$0.00 |