| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
44,964 |
40,829 |
$1.30M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
15,473 |
15,447 |
$711K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
8,437 |
8,430 |
$546K |
| 92015 |
Determination of refractive state |
24,070 |
24,022 |
$309K |
| 92341 |
|
8,204 |
8,198 |
$294K |
| V2020 |
Frames, purchases |
2,354 |
2,229 |
$233K |
| 92370 |
|
9,722 |
9,606 |
$111K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,415 |
907 |
$76K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,535 |
1,456 |
$51K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
781 |
777 |
$20K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
475 |
430 |
$15K |
| 92250 |
|
272 |
267 |
$9K |
| 92133 |
|
173 |
173 |
$5K |
| 92025 |
|
76 |
76 |
$1K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
14 |
13 |
$890.96 |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
39 |
39 |
$645.84 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
9,085 |
9,019 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
625 |
619 |
$0.00 |
| V2702 |
Deluxe lens feature |
20 |
17 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
122 |
119 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
106 |
106 |
$0.00 |