| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
4,931 |
4,855 |
$211K |
| V2020 |
Frames, purchases |
5,880 |
5,739 |
$99K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,655 |
2,608 |
$54K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,163 |
1,146 |
$50K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,311 |
1,286 |
$36K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,603 |
2,565 |
$33K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
266 |
250 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
84 |
82 |
$3K |
| 92015 |
Determination of refractive state |
268 |
266 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
59 |
58 |
$1K |
| S0592 |
Comprehensive contact lens evaluation |
12 |
12 |
$818.40 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
14 |
14 |
$290.64 |
| 2026F |
|
861 |
818 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
15 |
14 |
$0.00 |
| 2033F |
|
153 |
149 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |