| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,867 |
4,541 |
$341K |
| V2020 |
Frames, purchases |
7,414 |
6,841 |
$218K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
5,543 |
5,181 |
$195K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,373 |
2,197 |
$141K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,219 |
6,680 |
$116K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
852 |
788 |
$71K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
744 |
696 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
292 |
277 |
$8K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
88 |
84 |
$7K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
886 |
836 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
49 |
49 |
$2K |
| 92015 |
Determination of refractive state |
194 |
181 |
$2K |
| 92133 |
|
177 |
160 |
$1K |
| 92002 |
|
14 |
14 |
$974.96 |
| 92250 |
|
187 |
180 |
$860.54 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
276 |
267 |
$9.42 |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
362 |
266 |
$1.00 |
| 2026F |
|
24 |
24 |
$0.00 |
| 92134 |
|
12 |
12 |
$0.00 |
| 1036F |
|
101 |
97 |
$0.00 |