| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,176 |
996 |
$55K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
378 |
303 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
881 |
680 |
$19K |
| V2020 |
Frames, purchases |
1,372 |
1,120 |
$16K |
| V2799 |
Vision item or service, miscellaneous |
609 |
581 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
240 |
190 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
159 |
143 |
$1K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
77 |
75 |
$434.88 |
| 92015 |
Determination of refractive state |
1,158 |
899 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
88 |
76 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
74 |
70 |
$0.00 |