| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,245 |
4,108 |
$316K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,504 |
2,439 |
$231K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,565 |
4,479 |
$110K |
| 92015 |
Determination of refractive state |
7,075 |
6,908 |
$83K |
| 92250 |
|
1,329 |
1,216 |
$21K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
46 |
41 |
$3K |
| 92341 |
|
72 |
72 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
12 |
$560.31 |
| 92133 |
|
12 |
12 |
$302.94 |
| V2020 |
Frames, purchases |
1,051 |
959 |
$168.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
354 |
299 |
$84.16 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
612 |
537 |
$42.56 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
12 |
$0.00 |