| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,767 |
11,974 |
$824K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,219 |
4,898 |
$413K |
| V2020 |
Frames, purchases |
17,479 |
16,126 |
$288K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,882 |
3,519 |
$212K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
8,868 |
8,287 |
$168K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,478 |
1,369 |
$50K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,231 |
3,016 |
$33K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,170 |
1,036 |
$21K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
256 |
240 |
$13K |
| 92341 |
|
1,264 |
1,193 |
$13K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
408 |
376 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
494 |
446 |
$5K |
| V2025 |
Deluxe frame |
121 |
121 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
138 |
118 |
$4K |
| 92015 |
Determination of refractive state |
15,068 |
13,743 |
$4K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
188 |
176 |
$4K |
| 3072F |
|
2,073 |
1,923 |
$3K |
| 92250 |
|
63 |
56 |
$1K |
| V2799 |
Vision item or service, miscellaneous |
73 |
72 |
$768.00 |
| 92020 |
|
27 |
24 |
$255.43 |
| 76514 |
|
14 |
12 |
$48.66 |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
43 |
39 |
$9.00 |
| 2022F |
|
2,049 |
1,912 |
$6.30 |
| 5010F |
|
2,005 |
1,822 |
$0.00 |
| 2021F |
|
1,099 |
1,001 |
$0.00 |
| 4004F |
|
2,516 |
2,310 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
15,753 |
14,468 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
122 |
122 |
$0.00 |
| 2027F |
|
193 |
174 |
$0.00 |
| 1036F |
|
9,337 |
8,605 |
$0.00 |
| 3284F |
|
40 |
38 |
$0.00 |