| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,126 |
3,920 |
$252K |
| V2020 |
Frames, purchases |
6,472 |
6,042 |
$163K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,919 |
3,437 |
$159K |
| 92015 |
Determination of refractive state |
9,565 |
8,889 |
$136K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,389 |
1,242 |
$90K |
| 92002 |
|
899 |
838 |
$52K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,024 |
1,246 |
$52K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
635 |
565 |
$41K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
828 |
677 |
$22K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
512 |
341 |
$14K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
21 |
12 |
$794.18 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
27 |
24 |
$0.00 |
| 1036F |
|
14 |
12 |
$0.00 |