| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,853 |
2,735 |
$242K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,564 |
3,409 |
$223K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,893 |
2,814 |
$181K |
| 92015 |
Determination of refractive state |
6,035 |
5,734 |
$17K |
| 92133 |
|
186 |
165 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58 |
50 |
$2K |
| 92341 |
|
13 |
13 |
$910.00 |
| 92250 |
|
39 |
36 |
$906.34 |
| 92083 |
|
16 |
12 |
$442.16 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
81 |
65 |
$205.00 |
| V2020 |
Frames, purchases |
524 |
452 |
$148.20 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
134 |
121 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
77 |
67 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
305 |
258 |
$0.00 |
| 1036F |
|
61 |
55 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
354 |
229 |
$0.00 |