| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,197 |
1,088 |
$67K |
| V2020 |
Frames, purchases |
2,242 |
1,774 |
$59K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
681 |
600 |
$37K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,172 |
1,694 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,102 |
1,639 |
$6K |
| 92015 |
Determination of refractive state |
2,072 |
1,871 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
14 |
14 |
$303.52 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
31 |
27 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
14 |
14 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
20 |
19 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
15 |
12 |
$0.00 |