| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,362 |
4,787 |
$422K |
| 92015 |
Determination of refractive state |
8,038 |
7,185 |
$174K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,165 |
5,505 |
$117K |
| V2020 |
Frames, purchases |
7,196 |
6,449 |
$109K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,082 |
952 |
$96K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,771 |
5,102 |
$91K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,044 |
4,419 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
112 |
89 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67 |
63 |
$2K |
| V2750 |
Anti-reflective coating, per lens |
26 |
26 |
$729.60 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
28 |
25 |
$185.58 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
793 |
642 |
$3.82 |
| 3072F |
|
3,797 |
3,415 |
$0.04 |
| 1036F |
|
333 |
256 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
221 |
170 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
82 |
70 |
$0.00 |