| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
157,387 |
155,737 |
$3.48M |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
150,379 |
148,853 |
$2.84M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
46,364 |
43,593 |
$1.68M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
32,110 |
29,889 |
$1.23M |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
29,772 |
29,681 |
$1.16M |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
15,441 |
15,365 |
$593K |
| 92015 |
Determination of refractive state |
76,765 |
74,967 |
$500K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
65,031 |
64,177 |
$356K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,890 |
1,871 |
$58K |
| V2750 |
Anti-reflective coating, per lens |
25,630 |
25,254 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
394 |
382 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
42 |
$1K |
| 92310 |
|
24 |
24 |
$872.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
25 |
24 |
$743.12 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
24 |
24 |
$495.00 |
| 92002 |
|
14 |
14 |
$438.56 |
| 92250 |
|
43 |
40 |
$231.58 |
| V2799 |
Vision item or service, miscellaneous |
169 |
163 |
$30.00 |
| 1036F |
|
41 |
38 |
$0.00 |
| M1208 |
Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
14 |
14 |
$0.00 |
| V2715 |
Prism, per lens |
13 |
13 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
40 |
39 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
57 |
57 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
26 |
26 |
$0.00 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
40 |
24 |
$0.00 |