| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,937 |
1,856 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,207 |
2,819 |
$113K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
859 |
822 |
$69K |
| 92015 |
Determination of refractive state |
2,380 |
2,300 |
$59K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,342 |
1,324 |
$40K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
923 |
649 |
$24K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
394 |
374 |
$24K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
372 |
345 |
$18K |
| V2020 |
Frames, purchases |
740 |
726 |
$13K |
| 92083 |
|
219 |
198 |
$7K |
| 92133 |
|
317 |
291 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
61 |
$5K |
| 68761 |
|
54 |
27 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
143 |
132 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
170 |
159 |
$3K |
| 92250 |
|
106 |
92 |
$3K |
| G8785 |
Blood pressure reading not documented, reason not given |
33 |
27 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
22 |
17 |
$0.00 |