| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,933 |
12,785 |
$633K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
14,410 |
7,848 |
$352K |
| V2020 |
Frames, purchases |
12,624 |
12,439 |
$220K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,772 |
3,748 |
$216K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
3,264 |
1,806 |
$117K |
| 92250 |
|
2,514 |
2,445 |
$86K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,294 |
1,144 |
$47K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,787 |
1,774 |
$27K |
| 92341 |
|
1,150 |
1,148 |
$23K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
20,817 |
10,423 |
$18K |
| 92015 |
Determination of refractive state |
8,395 |
8,298 |
$13K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
242 |
121 |
$7K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
84 |
42 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
68 |
33 |
$1K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
12 |
12 |
$240.00 |
| 1036F |
|
336 |
328 |
$0.00 |
| 2023F |
|
69 |
69 |
$0.00 |
| 2022F |
|
274 |
274 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
75 |
74 |
$0.00 |