| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,894 |
9,192 |
$803K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,361 |
3,875 |
$409K |
| 92015 |
Determination of refractive state |
17,592 |
14,496 |
$392K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
16,619 |
13,550 |
$300K |
| V2020 |
Frames, purchases |
11,677 |
10,439 |
$270K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
6,080 |
5,600 |
$149K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,112 |
3,820 |
$69K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,052 |
1,024 |
$62K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
644 |
333 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,017 |
567 |
$15K |
| 92002 |
|
246 |
129 |
$8K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
53 |
37 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
15 |
14 |
$376.53 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
32 |
12 |
$345.24 |
| 1036F |
|
554 |
540 |
$127.89 |
| 3072F |
|
969 |
865 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
372 |
363 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
14 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
925 |
877 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
85 |
84 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
15 |
15 |
$0.00 |