| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
178 |
158 |
$8K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
45 |
30 |
$1K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
33 |
33 |
$990.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
14 |
13 |
$505.85 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13 |
13 |
$96.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
107 |
104 |
$0.00 |
| 4040F |
|
63 |
60 |
$0.00 |
| 92015 |
Determination of refractive state |
95 |
94 |
$0.00 |