| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
657 |
620 |
$41K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
294 |
291 |
$25K |
| V2020 |
Frames, purchases |
834 |
760 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
122 |
119 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
129 |
124 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
81 |
80 |
$2K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
33 |
33 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$840.00 |
| V2756 |
Eye glass case |
391 |
360 |
$367.20 |
| 92015 |
Determination of refractive state |
118 |
116 |
$90.30 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
535 |
507 |
$0.00 |