| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
8,556 |
8,269 |
$421K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,694 |
8,539 |
$371K |
| V2020 |
Frames, purchases |
11,833 |
11,389 |
$201K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
11,209 |
10,671 |
$198K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
6,189 |
5,908 |
$105K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,280 |
1,255 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,368 |
1,221 |
$64K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
376 |
373 |
$35K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
91 |
90 |
$7K |
| 92342 |
|
307 |
304 |
$7K |
| 92250 |
|
107 |
105 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
71 |
65 |
$3K |
| 92341 |
|
107 |
105 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
26 |
26 |
$1K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
267 |
264 |
$1K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
204 |
204 |
$870.06 |
| 1036F |
|
208 |
207 |
$870.06 |
| G9905 |
Patient not screened for tobacco use |
15 |
12 |
$0.00 |