| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92002 |
|
6,720 |
6,678 |
$266K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,471 |
5,435 |
$209K |
| V2500 |
Contact lens, pmma, spherical, per lens |
382 |
382 |
$176K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,249 |
3,237 |
$165K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,359 |
3,340 |
$135K |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
245 |
235 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,510 |
1,473 |
$54K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
923 |
916 |
$50K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,013 |
964 |
$20K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
372 |
195 |
$7K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
172 |
171 |
$7K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
138 |
138 |
$6K |
| V2020 |
Frames, purchases |
399 |
396 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
79 |
79 |
$1K |
| 92341 |
|
14 |
14 |
$275.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,258 |
637 |
$114.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
481 |
472 |
$9.00 |
| 1036F |
|
479 |
470 |
$9.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
359 |
351 |
$0.00 |
| 2023F |
|
13 |
13 |
$0.00 |