| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,396 |
4,112 |
$278K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,509 |
1,469 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,594 |
2,106 |
$76K |
| V2020 |
Frames, purchases |
828 |
818 |
$57K |
| 92133 |
|
1,805 |
1,723 |
$52K |
| 92015 |
Determination of refractive state |
2,170 |
2,023 |
$24K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
594 |
584 |
$24K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
665 |
655 |
$18K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,179 |
2,064 |
$18K |
| 1036F |
|
1,481 |
1,402 |
$15K |
| 4040F |
|
698 |
677 |
$8K |
| 92134 |
|
257 |
238 |
$6K |
| 92250 |
|
130 |
128 |
$5K |
| 92083 |
|
86 |
82 |
$4K |
| 2022F |
|
212 |
210 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
104 |
103 |
$3K |
| 92273 |
|
80 |
54 |
$726.38 |
| 4004F |
|
26 |
26 |
$572.30 |
| 92020 |
|
13 |
13 |
$126.60 |
| G8484 |
Influenza immunization was not administered, reason not given |
103 |
96 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
326 |
316 |
$0.00 |