| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
3,293 |
3,117 |
$57K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,251 |
1,216 |
$45K |
| 92250 |
|
1,411 |
1,354 |
$34K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,206 |
1,190 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
244 |
244 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
320 |
301 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
115 |
106 |
$4K |
| 92341 |
|
107 |
101 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
51 |
51 |
$1K |
| V2020 |
Frames, purchases |
58 |
58 |
$986.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
34 |
34 |
$425.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
3,345 |
3,170 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,304 |
4,103 |
$0.00 |
| 4004F |
|
12 |
12 |
$0.00 |