| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,997 |
1,835 |
$165K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
619 |
571 |
$65K |
| V2020 |
Frames, purchases |
309 |
272 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
86 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
45 |
39 |
$5K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
44 |
42 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
232 |
204 |
$4K |
| 92015 |
Determination of refractive state |
3,357 |
3,137 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
238 |
213 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
26 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
19 |
13 |
$628.29 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$535.21 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
15 |
15 |
$0.00 |
| 1036F |
|
162 |
156 |
$0.00 |