| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
6,846 |
6,314 |
$242K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,312 |
3,084 |
$189K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,701 |
1,595 |
$142K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,215 |
2,031 |
$88K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,902 |
1,346 |
$42K |
| 92015 |
Determination of refractive state |
7,930 |
7,411 |
$40K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
4,235 |
3,236 |
$29K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
219 |
209 |
$9K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
458 |
400 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48 |
38 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,275 |
1,239 |
$120.00 |
| G8732 |
No documentation of pain assessment, reason not given |
24 |
24 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
24 |
24 |
$0.00 |