| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,469 |
8,847 |
$879K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,309 |
3,564 |
$427K |
| V2020 |
Frames, purchases |
11,336 |
9,424 |
$416K |
| 92015 |
Determination of refractive state |
17,273 |
14,620 |
$230K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,366 |
2,748 |
$146K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
205 |
173 |
$14K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
421 |
307 |
$13K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
211 |
177 |
$13K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
156 |
119 |
$8K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
60 |
45 |
$5K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
34 |
26 |
$2K |
| V2755 |
U-v lens, per lens |
12 |
12 |
$177.86 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
28 |
26 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
14 |
13 |
$0.00 |