| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,519 |
10,980 |
$732K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,600 |
3,447 |
$285K |
| 92015 |
Determination of refractive state |
17,135 |
15,970 |
$257K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,037 |
9,952 |
$169K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
192 |
179 |
$15K |
| 92250 |
|
364 |
307 |
$9K |
| 99215 |
Prolong outpt/office vis |
98 |
91 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
53 |
49 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
102 |
51 |
$1K |
| V2020 |
Frames, purchases |
18 |
17 |
$850.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
12 |
$512.39 |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
18 |
14 |
$343.47 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
59 |
31 |
$303.60 |
| 1036F |
|
203 |
189 |
$0.10 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
307 |
287 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
97 |
95 |
$0.00 |
| V2760 |
Scratch resistant coating, per lens |
34 |
17 |
$0.00 |