| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,426 |
1,347 |
$107K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,045 |
997 |
$88K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,256 |
1,114 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,026 |
913 |
$47K |
| 92015 |
Determination of refractive state |
2,923 |
2,780 |
$40K |
| V2020 |
Frames, purchases |
651 |
628 |
$37K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
438 |
405 |
$16K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
437 |
437 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
79 |
62 |
$1K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
261 |
261 |
$366.17 |
| 92250 |
|
12 |
12 |
$250.84 |
| 5010F |
|
12 |
12 |
$17.92 |
| 1036F |
|
98 |
98 |
$17.92 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
13 |
13 |
$17.92 |
| 4004F |
|
13 |
13 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
38 |
38 |
$0.00 |