| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
10,024 |
8,919 |
$374K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,941 |
3,532 |
$237K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,763 |
3,864 |
$153K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,495 |
1,396 |
$68K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
754 |
676 |
$64K |
| 92015 |
Determination of refractive state |
9,662 |
8,617 |
$51K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
255 |
214 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
173 |
156 |
$8K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
91 |
77 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58 |
37 |
$917.38 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |