| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,837 |
1,639 |
$101K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,411 |
2,138 |
$82K |
| 92015 |
Determination of refractive state |
5,518 |
4,808 |
$72K |
| V2020 |
Frames, purchases |
869 |
862 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
615 |
610 |
$22K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
27 |
26 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
414 |
373 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
455 |
379 |
$10K |
| 92136 |
|
137 |
120 |
$6K |
| 92341 |
|
96 |
93 |
$3K |
| 92133 |
|
116 |
105 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
38 |
33 |
$2K |
| 92134 |
|
160 |
136 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
16 |
16 |
$880.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
30 |
26 |
$594.49 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
14 |
14 |
$249.27 |
| V2756 |
Eye glass case |
38 |
38 |
$45.51 |
| 1036F |
|
286 |
234 |
$0.18 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
117 |
97 |
$0.10 |