| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
892 |
769 |
$58K |
| 92250 |
|
922 |
868 |
$58K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
338 |
316 |
$34K |
| 92015 |
Determination of refractive state |
1,117 |
1,003 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
82 |
74 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
282 |
269 |
$9K |
| V2760 |
Scratch resistant coating, per lens |
214 |
200 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
59 |
57 |
$4K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
40 |
39 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13 |
13 |
$855.60 |
| 92341 |
|
27 |
25 |
$722.19 |
| V2755 |
U-v lens, per lens |
106 |
105 |
$536.18 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
14 |
$0.00 |