| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
326 |
276 |
$19K |
| V2020 |
Frames, purchases |
553 |
464 |
$17K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
353 |
279 |
$10K |
| V2760 |
Scratch resistant coating, per lens |
500 |
421 |
$6K |
| 92015 |
Determination of refractive state |
610 |
501 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
31 |
26 |
$3K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
13 |
13 |
$130.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
664 |
548 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
767 |
606 |
$0.00 |
| 1036F |
|
710 |
573 |
$0.00 |