| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
661 |
624 |
$48K |
| V2020 |
Frames, purchases |
570 |
540 |
$31K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
239 |
224 |
$15K |
| 92015 |
Determination of refractive state |
1,200 |
1,119 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
140 |
135 |
$12K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
283 |
221 |
$8K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
248 |
231 |
$7K |
| 92250 |
|
227 |
218 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
80 |
70 |
$4K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
537 |
478 |
$4K |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
346 |
306 |
$3K |
| 1036F |
|
233 |
206 |
$2K |
| T1015 |
Clinic visit/encounter, all-inclusive |
16 |
12 |
$0.00 |