| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,427 |
1,391 |
$57K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
924 |
896 |
$57K |
| 92250 |
|
1,975 |
1,913 |
$57K |
| 92015 |
Determination of refractive state |
1,449 |
1,426 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
913 |
888 |
$24K |
| 92083 |
|
1,305 |
1,270 |
$24K |
| 76512 |
|
1,393 |
698 |
$20K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
647 |
623 |
$11K |
| V2020 |
Frames, purchases |
1,022 |
986 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
98 |
86 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
198 |
108 |
$2K |
| 92133 |
|
12 |
12 |
$165.69 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
40 |
26 |
$145.50 |
| V2750 |
Anti-reflective coating, per lens |
87 |
73 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
184 |
173 |
$0.00 |
| 4004F |
|
186 |
174 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
95 |
89 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
64 |
54 |
$0.00 |
| 92342 |
|
35 |
27 |
$0.00 |
| V2781 |
Progressive lens, per lens |
37 |
26 |
$0.00 |
| V2744 |
Tint, photochromatic, per lens |
25 |
24 |
$0.00 |