| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
17,785 |
16,855 |
$609K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,070 |
11,740 |
$587K |
| V2020 |
Frames, purchases |
15,012 |
14,550 |
$431K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
13,418 |
13,027 |
$282K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
9,324 |
9,052 |
$278K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,328 |
4,186 |
$275K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
8,850 |
8,627 |
$252K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,906 |
1,721 |
$60K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,225 |
2,178 |
$55K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,413 |
1,387 |
$35K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
531 |
510 |
$24K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
624 |
596 |
$21K |
| 92342 |
|
578 |
552 |
$14K |
| 92341 |
|
508 |
493 |
$12K |
| 92133 |
|
163 |
156 |
$4K |
| 92250 |
|
89 |
88 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
141 |
131 |
$3K |
| 92083 |
|
43 |
41 |
$1K |
| 92020 |
|
106 |
97 |
$1K |
| M1208 |
Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
75 |
64 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
165 |
161 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
175 |
163 |
$0.00 |
| 92145 |
|
26 |
26 |
$0.00 |