| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,231 |
10,438 |
$532K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,142 |
1,870 |
$136K |
| V2020 |
Frames, purchases |
7,327 |
5,957 |
$126K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
7,595 |
4,072 |
$97K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,508 |
2,095 |
$66K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,321 |
4,220 |
$51K |
| 92250 |
|
2,625 |
2,267 |
$50K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,066 |
824 |
$20K |
| 92015 |
Determination of refractive state |
3,353 |
2,800 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
824 |
760 |
$9K |
| 92133 |
|
731 |
641 |
$8K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
131 |
92 |
$7K |
| 92134 |
|
581 |
467 |
$5K |
| V2025 |
Deluxe frame |
73 |
73 |
$4K |
| V2799 |
Vision item or service, miscellaneous |
168 |
168 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
181 |
121 |
$2K |
| 92226 |
|
446 |
205 |
$2K |
| 92083 |
|
58 |
48 |
$1K |
| V2781 |
Progressive lens, per lens |
13 |
13 |
$765.00 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
36 |
25 |
$472.68 |
| 92020 |
|
40 |
37 |
$226.38 |
| 92225 |
|
28 |
13 |
$170.61 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
21 |
14 |
$0.00 |
| 92202 |
|
33 |
14 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
22 |
15 |
$0.00 |
| 2023F |
|
16 |
15 |
$0.00 |
| 1036F |
|
20 |
14 |
$0.00 |