| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
1,945 |
1,575 |
$56K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,384 |
1,171 |
$45K |
| V2020 |
Frames, purchases |
1,426 |
1,379 |
$41K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
625 |
516 |
$31K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
799 |
762 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,038 |
996 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
492 |
477 |
$17K |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
330 |
313 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
470 |
379 |
$9K |
| 92341 |
|
382 |
364 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
200 |
184 |
$6K |
| 92133 |
|
97 |
79 |
$1K |
| 92083 |
|
52 |
50 |
$1K |
| 92370 |
|
24 |
24 |
$339.53 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
265 |
263 |
$0.00 |
| 1036F |
|
66 |
66 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
14 |
14 |
$0.00 |