| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,377 |
1,236 |
$54K |
| 92015 |
Determination of refractive state |
2,878 |
2,516 |
$47K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
705 |
592 |
$26K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
932 |
794 |
$20K |
| V2020 |
Frames, purchases |
1,199 |
1,026 |
$11K |
| 92250 |
|
325 |
283 |
$8K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
512 |
435 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,083 |
576 |
$5K |
| 92341 |
|
204 |
185 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
175 |
99 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
37 |
31 |
$196.08 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
22 |
13 |
$120.95 |
| 1036F |
|
157 |
129 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
106 |
85 |
$0.00 |
| 4004F |
|
153 |
131 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
326 |
276 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
56 |
47 |
$0.00 |
| 99072 |
|
63 |
59 |
$0.00 |