| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,341 |
3,220 |
$145K |
| V2750 |
Anti-reflective coating, per lens |
4,209 |
4,023 |
$113K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,959 |
3,905 |
$104K |
| 92015 |
Determination of refractive state |
5,646 |
5,455 |
$104K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,187 |
2,085 |
$98K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,140 |
4,030 |
$84K |
| V2020 |
Frames, purchases |
4,444 |
4,357 |
$74K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,057 |
2,622 |
$26K |
| 92341 |
|
791 |
770 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
335 |
319 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
489 |
431 |
$16K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
943 |
645 |
$12K |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
268 |
133 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,005 |
793 |
$6K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
565 |
413 |
$3K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
448 |
300 |
$3K |
| 92083 |
|
125 |
120 |
$3K |
| 92250 |
|
90 |
81 |
$2K |
| 92342 |
|
55 |
52 |
$2K |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
30 |
29 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
26 |
$589.46 |
| V2744 |
Tint, photochromatic, per lens |
97 |
49 |
$552.00 |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
22 |
13 |
$377.72 |
| 99072 |
|
56 |
51 |
$33.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
3,137 |
3,046 |
$0.00 |
| 1036F |
|
3,500 |
3,385 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
849 |
828 |
$0.00 |
| V2781 |
Progressive lens, per lens |
73 |
37 |
$0.00 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
13 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,314 |
4,154 |
$0.00 |
| 4004F |
|
849 |
826 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
33 |
30 |
$0.00 |
| 2022F |
|
39 |
37 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
169 |
157 |
$0.00 |
| 5010F |
|
14 |
13 |
$0.00 |