| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,850 |
1,802 |
$63K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,379 |
944 |
$61K |
| V2020 |
Frames, purchases |
1,656 |
1,382 |
$39K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
404 |
402 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
553 |
242 |
$15K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
212 |
167 |
$8K |
| 92015 |
Determination of refractive state |
1,201 |
1,179 |
$7K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
13 |
12 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
134 |
127 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
103 |
103 |
$3K |
| V2760 |
Scratch resistant coating, per lens |
260 |
114 |
$2K |
| 76519 |
|
29 |
27 |
$786.37 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$372.76 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
221 |
218 |
$0.00 |