| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,017 |
3,821 |
$229K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,936 |
1,833 |
$147K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,567 |
6,200 |
$110K |
| V2020 |
Frames, purchases |
6,203 |
5,848 |
$84K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,874 |
4,574 |
$78K |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
3,510 |
3,348 |
$64K |
| 92015 |
Determination of refractive state |
5,661 |
5,380 |
$47K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,981 |
4,709 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
765 |
697 |
$24K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
330 |
323 |
$6K |
| 92083 |
|
156 |
151 |
$4K |
| V2755 |
U-v lens, per lens |
588 |
577 |
$2K |
| 92133 |
|
93 |
87 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
169 |
155 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
27 |
27 |
$739.40 |
| 92134 |
|
40 |
38 |
$703.21 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
12 |
12 |
$298.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
42 |
40 |
$0.77 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
695 |
656 |
$0.00 |
| V2760 |
Scratch resistant coating, per lens |
71 |
71 |
$0.00 |
| 1036F |
|
693 |
656 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
105 |
98 |
$0.00 |
| 83861 |
|
26 |
12 |
$0.00 |