| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,642 |
4,563 |
$299K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,026 |
1,974 |
$162K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,639 |
5,542 |
$98K |
| V2020 |
Frames, purchases |
6,172 |
6,069 |
$85K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,773 |
4,686 |
$76K |
| 92015 |
Determination of refractive state |
7,184 |
6,912 |
$59K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,645 |
2,598 |
$28K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,207 |
1,183 |
$11K |
| 92250 |
|
243 |
242 |
$10K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
412 |
409 |
$6K |
| 92370 |
|
523 |
503 |
$3K |
| V2750 |
Anti-reflective coating, per lens |
37 |
36 |
$2K |
| 92341 |
|
75 |
75 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
27 |
27 |
$810.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
25 |
24 |
$0.00 |