| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
710 |
680 |
$34K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
593 |
563 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
171 |
167 |
$6K |
| V2020 |
Frames, purchases |
95 |
88 |
$2K |
| 92015 |
Determination of refractive state |
914 |
881 |
$628.04 |
| 92341 |
|
44 |
38 |
$15.00 |
| 2022F |
|
53 |
52 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
26 |
24 |
$0.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
13 |
$0.00 |
| V2755 |
U-v lens, per lens |
43 |
43 |
$0.00 |
| 1036F |
|
13 |
12 |
$0.00 |