| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,376 |
1,260 |
$59K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,090 |
1,006 |
$56K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,086 |
773 |
$52K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
361 |
278 |
$14K |
| V2020 |
Frames, purchases |
487 |
477 |
$13K |
| V2025 |
Deluxe frame |
117 |
93 |
$6K |
| 92015 |
Determination of refractive state |
963 |
783 |
$5K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
55 |
55 |
$4K |
| 99199 |
Unlisted special service, procedure or report |
219 |
182 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
217 |
170 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
31 |
24 |
$0.00 |
| 1036F |
|
82 |
65 |
$0.00 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
18 |
17 |
$0.00 |