| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,437 |
2,330 |
$138K |
| 92250 |
|
876 |
821 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
262 |
251 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
586 |
517 |
$19K |
| V2020 |
Frames, purchases |
661 |
633 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
200 |
191 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
261 |
258 |
$7K |
| 92015 |
Determination of refractive state |
2,052 |
1,978 |
$586.70 |
| 92083 |
|
14 |
13 |
$413.52 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
13 |
13 |
$351.20 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
200 |
183 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
78 |
72 |
$0.00 |
| 1036F |
|
86 |
79 |
$0.00 |