| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,458 |
4,090 |
$313K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,425 |
1,305 |
$130K |
| 92250 |
|
5,572 |
4,947 |
$128K |
| 83861 |
|
7,292 |
3,937 |
$121K |
| 92015 |
Determination of refractive state |
5,710 |
5,217 |
$94K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,175 |
3,799 |
$87K |
| V2020 |
Frames, purchases |
2,728 |
2,375 |
$70K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,430 |
1,254 |
$62K |
| 92081 |
|
1,777 |
1,552 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
948 |
767 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
571 |
530 |
$18K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
761 |
608 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
381 |
368 |
$5K |
| 1036F |
|
128 |
113 |
$4K |
| V2750 |
Anti-reflective coating, per lens |
158 |
142 |
$4K |
| 92083 |
|
143 |
137 |
$3K |
| 92133 |
|
31 |
28 |
$408.84 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
12 |
12 |
$288.24 |
| 92134 |
|
13 |
13 |
$200.21 |
| 2024F |
|
443 |
402 |
$11.56 |
| 2033F |
|
375 |
341 |
$0.00 |
| V2755 |
U-v lens, per lens |
28 |
28 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
178 |
150 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
34 |
28 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
13 |
13 |
$0.00 |