| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,004 |
922 |
$42K |
| 92341 |
|
1,260 |
1,179 |
$37K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
830 |
696 |
$31K |
| 92015 |
Determination of refractive state |
2,767 |
2,686 |
$30K |
| V2020 |
Frames, purchases |
1,984 |
1,852 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
564 |
527 |
$21K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,114 |
1,021 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
84 |
79 |
$6K |
| 1036F |
|
657 |
554 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
810 |
761 |
$4K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
81 |
81 |
$3K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
12 |
12 |
$685.92 |
| V2025 |
Deluxe frame |
195 |
193 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
151 |
127 |
$0.00 |
| 2022F |
|
13 |
13 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
309 |
241 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
15 |
14 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
128 |
78 |
$0.00 |
| V2755 |
U-v lens, per lens |
809 |
757 |
$0.00 |
| 2023F |
|
29 |
29 |
$0.00 |