| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
826 |
727 |
$23K |
| V2020 |
Frames, purchases |
193 |
181 |
$8K |
| 92015 |
Determination of refractive state |
899 |
797 |
$5K |
| V2760 |
Scratch resistant coating, per lens |
238 |
221 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
59 |
55 |
$2K |
| 92002 |
|
46 |
39 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
35 |
25 |
$1K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
57 |
56 |
$550.00 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
36 |
27 |
$477.05 |
| 1036F |
|
14 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
105 |
90 |
$0.00 |