| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
993 |
805 |
$63K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
913 |
712 |
$50K |
| 92015 |
Determination of refractive state |
3,670 |
2,776 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
182 |
135 |
$12K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
389 |
384 |
$11K |
| V2025 |
Deluxe frame |
170 |
167 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
285 |
281 |
$2K |
| V2020 |
Frames, purchases |
86 |
86 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
68 |
67 |
$1K |
| 92083 |
|
32 |
26 |
$749.79 |
| 92250 |
|
13 |
13 |
$440.89 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
46 |
37 |
$0.90 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
34 |
26 |
$0.90 |
| 1036F |
|
19 |
13 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
27 |
25 |
$0.00 |