| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,282 |
1,277 |
$123K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,500 |
1,494 |
$109K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,678 |
1,665 |
$63K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
578 |
535 |
$26K |
| V2020 |
Frames, purchases |
1,482 |
1,471 |
$25K |
| 92015 |
Determination of refractive state |
2,695 |
2,687 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
429 |
428 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
984 |
983 |
$10K |
| 92341 |
|
122 |
122 |
$5K |
| 92083 |
|
73 |
65 |
$4K |
| 92133 |
|
55 |
52 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
174 |
173 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
74 |
72 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
136 |
136 |
$1K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
26 |
25 |
$372.45 |
| 1036F |
|
25 |
25 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
206 |
193 |
$0.00 |