| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,191 |
1,088 |
$125K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
219 |
194 |
$25K |
| V2020 |
Frames, purchases |
620 |
563 |
$15K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
443 |
248 |
$4K |
| 92015 |
Determination of refractive state |
2,241 |
2,036 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24 |
13 |
$544.69 |
| 1036F |
|
184 |
179 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
42 |
41 |
$0.00 |