| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
|
2,687 |
2,477 |
$100K |
| 99214 |
|
1,705 |
1,672 |
$67K |
| 92250 |
|
1,694 |
1,539 |
$33K |
| 99204 |
|
448 |
445 |
$27K |
| 99212 |
|
681 |
638 |
$25K |
| 92014 |
|
10,792 |
10,642 |
$24K |
| 92134 |
|
990 |
965 |
$15K |
| 92083 |
|
808 |
797 |
$13K |
| 92133 |
|
774 |
763 |
$12K |
| 92004 |
|
3,050 |
3,028 |
$3K |
| V2020 |
Frames, purchases |
9,615 |
9,259 |
$2K |
| 92012 |
|
196 |
181 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
8,483 |
4,076 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,810 |
922 |
$714.00 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
529 |
274 |
$472.50 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
11,432 |
5,528 |
$266.80 |
| 92285 |
|
283 |
258 |
$153.17 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,731 |
837 |
$72.00 |
| 99309 |
|
12 |
12 |
$48.64 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
22 |
12 |
$21.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
75 |
66 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
354 |
173 |
$0.00 |
| V2299 |
Specialty bifocal (by report) |
100 |
50 |
$0.00 |
| V2781 |
Progressive lens, per lens |
124 |
62 |
$0.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
24 |
12 |
$0.00 |
| M1208 |
Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
24 |
24 |
$0.00 |
| S0500 |
Disposable contact lens, per lens |
14 |
14 |
$0.00 |
| V2760 |
Scratch resistant coating, per lens |
301 |
149 |
$0.00 |
| 99072 |
|
40 |
40 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
446 |
210 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
53 |
49 |
$0.00 |