| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,561 |
1,358 |
$90K |
| 92015 |
Determination of refractive state |
1,959 |
1,697 |
$62K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
774 |
574 |
$59K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
786 |
697 |
$59K |
| 92060 |
|
1,570 |
1,527 |
$53K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,718 |
1,490 |
$46K |
| 92250 |
|
1,023 |
950 |
$34K |
| 95930 |
|
646 |
620 |
$31K |
| V2020 |
Frames, purchases |
840 |
778 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
261 |
222 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
813 |
455 |
$9K |
| 92065 |
|
167 |
90 |
$5K |
| 92273 |
|
80 |
78 |
$4K |
| 92083 |
|
150 |
137 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
80 |
67 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
88 |
57 |
$801.32 |
| 92275 |
|
12 |
12 |
$497.96 |
| 1036F |
|
321 |
314 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
416 |
403 |
$0.00 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
12 |
12 |
$0.00 |
| G2104 |
Eye imaging validated to match diagnosis from seven standard field stereoscopic photos results documented and reviewed |
49 |
49 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
65 |
59 |
$0.00 |
| 2026F |
|
28 |
28 |
$0.00 |