| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,595 |
1,332 |
$91K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
827 |
762 |
$71K |
| 92250 |
|
940 |
900 |
$50K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
319 |
306 |
$35K |
| 92015 |
Determination of refractive state |
2,965 |
2,538 |
$33K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
533 |
472 |
$13K |
| V2020 |
Frames, purchases |
681 |
606 |
$11K |
| 92083 |
|
233 |
214 |
$10K |
| 92285 |
|
323 |
284 |
$4K |
| 68761 |
|
52 |
26 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
184 |
175 |
$3K |
| 95930 |
|
84 |
79 |
$3K |
| 92025 |
|
47 |
46 |
$1K |
| 92133 |
|
26 |
26 |
$857.36 |
| V2799 |
Vision item or service, miscellaneous |
25 |
25 |
$34.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
29 |
25 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
22 |
15 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
29 |
25 |
$0.00 |