| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,218 |
4,772 |
$264K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,352 |
3,037 |
$209K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,380 |
1,279 |
$22K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
46 |
36 |
$1K |
| 92015 |
Determination of refractive state |
12,508 |
11,427 |
$667.23 |
| V2020 |
Frames, purchases |
516 |
475 |
$55.12 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
554 |
499 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
173 |
84 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |