| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,101 |
1,070 |
$48K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
722 |
709 |
$38K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,573 |
918 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
792 |
749 |
$27K |
| V2020 |
Frames, purchases |
1,428 |
1,418 |
$17K |
| 92134 |
|
601 |
596 |
$16K |
| 92201 |
|
721 |
634 |
$11K |
| 92250 |
|
118 |
117 |
$5K |
| 92202 |
|
193 |
191 |
$4K |
| 92133 |
|
77 |
77 |
$2K |
| 92225 |
|
91 |
78 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,084 |
618 |
$1K |
| 92083 |
|
14 |
14 |
$603.78 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$597.80 |
| 92015 |
Determination of refractive state |
128 |
126 |
$559.47 |
| 92226 |
|
14 |
14 |
$345.41 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
23 |
13 |
$317.26 |
| V2755 |
U-v lens, per lens |
56 |
28 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
13 |
$0.00 |