| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
58,949 |
57,287 |
$2.06M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
38,133 |
36,988 |
$1.79M |
| V2020 |
Frames, purchases |
58,875 |
56,713 |
$1.70M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
21,595 |
20,915 |
$1.36M |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
53,635 |
51,624 |
$1.13M |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
30,548 |
29,578 |
$875K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
29,431 |
28,573 |
$841K |
| 92250 |
|
12,336 |
11,679 |
$406K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
15,557 |
15,037 |
$377K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,654 |
4,450 |
$188K |
| 92341 |
|
6,705 |
6,430 |
$156K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
4,727 |
4,578 |
$121K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,950 |
3,609 |
$75K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,770 |
1,579 |
$54K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
1,505 |
1,450 |
$49K |
| 92083 |
|
416 |
397 |
$14K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
392 |
363 |
$12K |
| 92133 |
|
224 |
205 |
$4K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
12 |
12 |
$302.29 |
| G8785 |
Blood pressure reading not documented, reason not given |
12 |
12 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
159 |
142 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
237 |
200 |
$0.00 |