| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,936 |
2,923 |
$59K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,425 |
2,415 |
$58K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,966 |
2,951 |
$18K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
469 |
465 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
40 |
39 |
$2K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
139 |
138 |
$1K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
22 |
21 |
$1K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
21 |
21 |
$0.00 |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
39 |
39 |
$0.00 |