| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,056 |
2,841 |
$263K |
| V2020 |
Frames, purchases |
3,720 |
3,239 |
$148K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,117 |
1,067 |
$111K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,196 |
1,049 |
$74K |
| 92015 |
Determination of refractive state |
4,396 |
4,150 |
$63K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,036 |
1,118 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
541 |
495 |
$38K |
| 92250 |
|
904 |
835 |
$20K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
308 |
171 |
$7K |
| 68761 |
|
53 |
28 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
107 |
92 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
36 |
24 |
$2K |
| 83861 |
|
26 |
12 |
$472.04 |
| 83516 |
|
56 |
25 |
$462.35 |
| 92083 |
|
14 |
14 |
$426.72 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
24 |
13 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
22 |
13 |
$0.00 |