| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
949 |
874 |
$84K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
941 |
878 |
$44K |
| V2020 |
Frames, purchases |
157 |
151 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
83 |
78 |
$4K |
| 92015 |
Determination of refractive state |
987 |
912 |
$2K |
| 92341 |
|
99 |
95 |
$58.30 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
15 |
15 |
$31.32 |
| 5010F |
|
46 |
46 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
315 |
286 |
$0.00 |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
14 |
14 |
$0.00 |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
15 |
15 |
$0.00 |
| 2022F |
|
17 |
17 |
$0.00 |
| 1036F |
|
287 |
260 |
$0.00 |
| V2755 |
U-v lens, per lens |
75 |
74 |
$0.00 |