| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
980 |
848 |
$80K |
| 92015 |
Determination of refractive state |
4,217 |
3,823 |
$51K |
| V2020 |
Frames, purchases |
1,839 |
1,593 |
$48K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
452 |
412 |
$47K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
163 |
155 |
$10K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
395 |
261 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
72 |
68 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
31 |
27 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
64 |
26 |
$646.50 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
123 |
103 |
$0.00 |
| 1036F |
|
97 |
79 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
30 |
25 |
$0.00 |