| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,056 |
2,881 |
$121K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,036 |
1,970 |
$87K |
| V2020 |
Frames, purchases |
3,540 |
3,312 |
$80K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,298 |
3,119 |
$75K |
| 92015 |
Determination of refractive state |
4,738 |
4,531 |
$66K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,255 |
2,117 |
$63K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,024 |
2,846 |
$26K |
| 92342 |
|
392 |
360 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
331 |
318 |
$7K |
| 92341 |
|
29 |
29 |
$719.61 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
45 |
40 |
$596.20 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$354.64 |
| 92250 |
|
13 |
13 |
$196.50 |
| 92083 |
|
14 |
14 |
$188.65 |
| 92020 |
|
13 |
13 |
$74.25 |
| 76514 |
|
12 |
12 |
$49.68 |
| 1036F |
|
27 |
26 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
46 |
36 |
$0.00 |
| 4040F |
|
100 |
81 |
$0.00 |