| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
2,734 |
2,599 |
$169K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,992 |
1,901 |
$158K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
703 |
680 |
$67K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
2,711 |
2,390 |
$65K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,327 |
1,198 |
$48K |
| 92015 |
Determination of refractive state |
3,275 |
3,147 |
$44K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
245 |
214 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
417 |
386 |
$14K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
29 |
28 |
$858.25 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
14 |
$702.13 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
45 |
43 |
$588.62 |
| 1036F |
|
13 |
13 |
$186.59 |