| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
240 |
237 |
$13K |
| V2020 |
Frames, purchases |
308 |
298 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
82 |
82 |
$7K |
| 92250 |
|
152 |
145 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
45 |
45 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
13 |
$331.76 |
| V2756 |
Eye glass case |
72 |
71 |
$76.68 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
13 |
$0.00 |