| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,711 |
1,600 |
$156K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,208 |
1,174 |
$150K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
2,276 |
2,236 |
$122K |
| 92015 |
Determination of refractive state |
3,869 |
3,652 |
$57K |
| V2020 |
Frames, purchases |
2,321 |
2,279 |
$54K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,578 |
1,567 |
$48K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,129 |
2,094 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
173 |
134 |
$6K |
| 92310 |
|
26 |
25 |
$2K |
| 92133 |
|
13 |
13 |
$279.85 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
17 |
13 |
$0.00 |
| 1036F |
|
15 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
15 |
12 |
$0.00 |