| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2499 |
Variable sphericity lens, other type |
4,350 |
4,309 |
$402K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,125 |
3,965 |
$244K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,844 |
1,793 |
$149K |
| V2750 |
Anti-reflective coating, per lens |
1,752 |
1,698 |
$143K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,500 |
4,457 |
$79K |
| 92250 |
|
1,836 |
1,786 |
$78K |
| V2020 |
Frames, purchases |
4,395 |
4,356 |
$62K |
| 92015 |
Determination of refractive state |
6,711 |
6,621 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
601 |
523 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
41 |
39 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
24 |
24 |
$2K |
| 92341 |
|
105 |
101 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
45 |
45 |
$1K |
| 1036F |
|
18 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
18 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
80 |
79 |
$0.00 |