| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,150 |
4,894 |
$352K |
| V2020 |
Frames, purchases |
3,236 |
3,049 |
$127K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
627 |
587 |
$66K |
| V2760 |
Scratch resistant coating, per lens |
2,943 |
2,762 |
$51K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,125 |
981 |
$41K |
| 92015 |
Determination of refractive state |
9,001 |
8,482 |
$36K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
1,519 |
1,433 |
$14K |
| 92250 |
|
270 |
258 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
76 |
71 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
171 |
158 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
130 |
125 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
40 |
$2K |
| 92002 |
|
14 |
12 |
$890.26 |
| 1036F |
|
27 |
25 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
52 |
50 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
15 |
13 |
$0.00 |