| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
951 |
933 |
$75K |
| V2020 |
Frames, purchases |
1,840 |
1,813 |
$54K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
709 |
699 |
$44K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,359 |
1,331 |
$24K |
| 92015 |
Determination of refractive state |
2,316 |
2,286 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
648 |
643 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
221 |
212 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
67 |
65 |
$3K |
| 92250 |
|
52 |
51 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
25 |
24 |
$1K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
13 |
$0.00 |