| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,463 |
1,332 |
$92K |
| V2020 |
Frames, purchases |
2,682 |
2,255 |
$76K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,834 |
1,147 |
$75K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,497 |
1,385 |
$71K |
| V2780 |
Oversize lens, per lens |
6,132 |
2,797 |
$55K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,123 |
670 |
$38K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
614 |
406 |
$19K |
| 92250 |
|
1,034 |
853 |
$18K |
| 92015 |
Determination of refractive state |
3,536 |
2,987 |
$12K |
| 92370 |
|
406 |
340 |
$5K |
| V2730 |
Special base curve, glass or plastic, per lens |
206 |
97 |
$3K |
| 92083 |
|
46 |
46 |
$2K |
| 1036F |
|
264 |
261 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
329 |
325 |
$0.00 |