| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,666 |
2,576 |
$178K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
946 |
898 |
$77K |
| V2020 |
Frames, purchases |
2,948 |
2,853 |
$72K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,047 |
983 |
$24K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
864 |
790 |
$19K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
1,118 |
1,115 |
$14K |
| 92015 |
Determination of refractive state |
2,531 |
2,430 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
719 |
699 |
$9K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
73 |
73 |
$4K |
| V2025 |
Deluxe frame |
43 |
43 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
77 |
73 |
$2K |
| 92341 |
|
126 |
124 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
14 |
14 |
$1K |
| V2799 |
Vision item or service, miscellaneous |
89 |
87 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$225.85 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
246 |
221 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |