| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
9,047 |
8,546 |
$620K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,728 |
10,512 |
$392K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,347 |
5,259 |
$311K |
| V2020 |
Frames, purchases |
6,303 |
6,094 |
$254K |
| 92015 |
Determination of refractive state |
15,205 |
14,673 |
$223K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,823 |
4,503 |
$220K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,566 |
2,535 |
$188K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,490 |
2,217 |
$98K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,149 |
3,030 |
$82K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,809 |
2,717 |
$62K |
| 92341 |
|
684 |
675 |
$22K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
618 |
597 |
$22K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
253 |
245 |
$16K |
| 92002 |
|
278 |
273 |
$13K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
390 |
211 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
134 |
124 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
521 |
351 |
$7K |
| V2756 |
Eye glass case |
4,865 |
4,690 |
$6K |
| 92285 |
|
197 |
145 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
100 |
65 |
$2K |
| 3072F |
|
178 |
173 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
55 |
49 |
$2K |
| 92083 |
|
13 |
12 |
$719.49 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
22 |
13 |
$382.92 |
| V2760 |
Scratch resistant coating, per lens |
1,310 |
1,267 |
$30.40 |
| 2022F |
|
15 |
15 |
$0.04 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
13 |
13 |
$0.01 |
| 1036F |
|
1,881 |
1,767 |
$0.00 |