| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,868 |
1,410 |
$59K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,192 |
1,187 |
$47K |
| 92002 |
|
943 |
943 |
$38K |
| V2020 |
Frames, purchases |
2,553 |
2,521 |
$29K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
325 |
325 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
190 |
95 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,385 |
2,661 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
40 |
40 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
14 |
14 |
$560.00 |
| 92136 |
|
95 |
76 |
$429.49 |
| 92134 |
|
12 |
12 |
$84.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |