| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,833 |
3,724 |
$205K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,367 |
2,275 |
$193K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,700 |
6,491 |
$115K |
| 92015 |
Determination of refractive state |
6,284 |
6,103 |
$53K |
| 92250 |
|
1,563 |
1,495 |
$42K |
| V2020 |
Frames, purchases |
1,724 |
1,674 |
$24K |
| V2750 |
Anti-reflective coating, per lens |
313 |
310 |
$24K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
969 |
946 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
290 |
272 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,712 |
1,658 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
165 |
164 |
$8K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
159 |
157 |
$4K |
| 92370 |
|
719 |
685 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
231 |
226 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$769.80 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
78 |
74 |
$589.99 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
26 |
26 |
$379.62 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
313 |
308 |
$0.01 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
421 |
409 |
$0.00 |
| 2027F |
|
54 |
53 |
$0.00 |
| 1036F |
|
379 |
369 |
$0.00 |
| 3284F |
|
39 |
38 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
336 |
332 |
$0.00 |