| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
949 |
737 |
$56K |
| 92015 |
Determination of refractive state |
1,497 |
1,261 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
166 |
143 |
$14K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
568 |
491 |
$11K |
| V2020 |
Frames, purchases |
254 |
213 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
67 |
42 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$374.44 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
104 |
100 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
45 |
44 |
$0.00 |
| 1036F |
|
49 |
46 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
60 |
28 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
48 |
45 |
$0.00 |