| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,122 |
4,970 |
$317K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,104 |
2,978 |
$250K |
| V2020 |
Frames, purchases |
5,857 |
5,744 |
$183K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,295 |
4,238 |
$106K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,566 |
4,483 |
$85K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
627 |
505 |
$22K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
902 |
889 |
$20K |
| V2755 |
U-v lens, per lens |
1,508 |
1,482 |
$17K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,271 |
2,222 |
$17K |
| 92015 |
Determination of refractive state |
1,082 |
1,078 |
$11K |
| 92250 |
|
223 |
217 |
$8K |
| V2760 |
Scratch resistant coating, per lens |
2,135 |
2,092 |
$6K |
| 92370 |
|
166 |
162 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
88 |
86 |
$2K |
| 92083 |
|
23 |
21 |
$777.19 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
42 |
42 |
$670.00 |
| 92133 |
|
23 |
19 |
$483.24 |
| 99199 |
Unlisted special service, procedure or report |
36 |
34 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
319 |
280 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
126 |
110 |
$0.00 |