| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,817 |
1,728 |
$116K |
| V2020 |
Frames, purchases |
2,505 |
2,396 |
$90K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
968 |
886 |
$87K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,141 |
1,103 |
$45K |
| 92015 |
Determination of refractive state |
5,029 |
4,475 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,114 |
694 |
$16K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
65 |
50 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$800.01 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
723 |
665 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
216 |
204 |
$0.00 |
| 1036F |
|
216 |
204 |
$0.00 |