| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,457 |
4,148 |
$358K |
| V2020 |
Frames, purchases |
5,685 |
5,353 |
$218K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,165 |
1,954 |
$212K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,531 |
1,750 |
$78K |
| 92015 |
Determination of refractive state |
7,028 |
6,461 |
$76K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,220 |
2,024 |
$54K |
| V2755 |
U-v lens, per lens |
1,650 |
1,586 |
$29K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
584 |
356 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
172 |
132 |
$8K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
27 |
26 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$449.28 |
| 1036F |
|
577 |
437 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
783 |
579 |
$0.00 |