| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,121 |
1,614 |
$64K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,300 |
1,297 |
$52K |
| V2020 |
Frames, purchases |
2,691 |
2,651 |
$33K |
| 92002 |
|
658 |
658 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
176 |
175 |
$6K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
152 |
82 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,441 |
2,784 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
49 |
49 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
12 |
12 |
$480.00 |
| 1036F |
|
18 |
18 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
19 |
19 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
62 |
61 |
$0.00 |