| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,860 |
5,380 |
$323K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,550 |
3,206 |
$244K |
| V2020 |
Frames, purchases |
4,973 |
4,138 |
$87K |
| 92250 |
|
3,293 |
2,945 |
$83K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,168 |
2,897 |
$73K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,014 |
1,820 |
$61K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
2,638 |
2,348 |
$30K |
| 92015 |
Determination of refractive state |
3,171 |
2,870 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
808 |
617 |
$7K |
| 92133 |
|
444 |
422 |
$7K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
70 |
68 |
$5K |
| 92134 |
|
437 |
413 |
$5K |
| 92083 |
|
73 |
70 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
148 |
90 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
48 |
35 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
38 |
25 |
$480.95 |
| 92225 |
|
33 |
30 |
$331.93 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
19 |
12 |
$265.80 |
| 1036F |
|
52 |
51 |
$0.00 |
| G8509 |
Pain assessment documented as positive using a standardized tool, follow-up plan not documented, reason not given |
44 |
42 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
56 |
55 |
$0.00 |