| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
876 |
862 |
$47K |
| V2020 |
Frames, purchases |
1,035 |
994 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
170 |
168 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
145 |
110 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
130 |
128 |
$3K |
| 92250 |
|
101 |
96 |
$3K |
| 92015 |
Determination of refractive state |
79 |
66 |
$526.75 |
| V2756 |
Eye glass case |
459 |
454 |
$488.34 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
69 |
62 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |