| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
2,261 |
1,331 |
$322K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
875 |
834 |
$105K |
| 92250 |
|
2,483 |
2,296 |
$101K |
| V2025 |
Deluxe frame |
1,024 |
610 |
$95K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
905 |
871 |
$94K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,159 |
1,284 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,287 |
1,177 |
$61K |
| V2020 |
Frames, purchases |
1,218 |
712 |
$45K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,226 |
1,320 |
$41K |
| V2750 |
Anti-reflective coating, per lens |
1,031 |
614 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
190 |
174 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
65 |
64 |
$8K |
| V2744 |
Tint, photochromatic, per lens |
486 |
462 |
$5K |
| 92015 |
Determination of refractive state |
2,068 |
1,977 |
$2K |
| V2755 |
U-v lens, per lens |
143 |
86 |
$1K |
| 92083 |
|
26 |
26 |
$1K |
| 92020 |
|
25 |
25 |
$555.02 |
| V2760 |
Scratch resistant coating, per lens |
1,013 |
610 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
28 |
27 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
27 |
26 |
$0.00 |
| G9909 |
Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months if identified as a tobacco user (e.g., limited life expectancy, other medical reason) |
16 |
15 |
$0.00 |
| V2799 |
Vision item or service, miscellaneous |
853 |
512 |
$0.00 |