| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,879 |
1,867 |
$40K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
420 |
420 |
$36K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,198 |
1,113 |
$30K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,163 |
1,160 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
585 |
585 |
$24K |
| 92015 |
Determination of refractive state |
2,388 |
2,378 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
446 |
445 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
409 |
409 |
$15K |
| 92341 |
|
24 |
24 |
$763.20 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$714.24 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
79 |
67 |
$105.60 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
15 |
14 |
$0.00 |