| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,200 |
5,091 |
$339K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,674 |
1,644 |
$145K |
| 92015 |
Determination of refractive state |
6,891 |
6,788 |
$85K |
| V2020 |
Frames, purchases |
4,416 |
4,295 |
$77K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,797 |
2,740 |
$74K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,288 |
3,389 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,192 |
1,026 |
$38K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,594 |
2,170 |
$26K |
| 92250 |
|
478 |
428 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
201 |
172 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
604 |
496 |
$8K |
| 92370 |
|
73 |
72 |
$2K |
| 92083 |
|
13 |
13 |
$460.08 |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
21 |
14 |
$207.20 |
| 1036F |
|
687 |
664 |
$0.00 |
| 2033F |
|
311 |
292 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
725 |
630 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
1,794 |
1,634 |
$0.00 |