| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,826 |
4,601 |
$245K |
| 92015 |
Determination of refractive state |
8,060 |
7,671 |
$228K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,260 |
4,965 |
$155K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,900 |
2,011 |
$131K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,692 |
1,607 |
$121K |
| V2020 |
Frames, purchases |
4,629 |
4,184 |
$57K |
| 92250 |
|
2,037 |
1,885 |
$43K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,267 |
1,306 |
$23K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
296 |
193 |
$3K |
| 92083 |
|
60 |
52 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$175.55 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
14 |
12 |
$27.68 |
| V2750 |
Anti-reflective coating, per lens |
235 |
204 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |
| 2023F |
|
346 |
335 |
$0.00 |
| 2033F |
|
80 |
76 |
$0.00 |
| 1036F |
|
16 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
16 |
12 |
$0.00 |