| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,763 |
3,596 |
$282K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,372 |
1,311 |
$124K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,214 |
2,107 |
$86K |
| 92015 |
Determination of refractive state |
6,822 |
6,543 |
$79K |
| V2020 |
Frames, purchases |
2,487 |
2,101 |
$68K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,612 |
2,282 |
$52K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,132 |
817 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
379 |
323 |
$31K |
| 92060 |
|
539 |
524 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
176 |
170 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
150 |
132 |
$8K |
| T1013 |
Sign language or oral interpretive services, per 15 minutes |
221 |
174 |
$7K |
| 99072 |
|
470 |
385 |
$1K |
| 92250 |
|
12 |
12 |
$291.75 |
| 92285 |
|
13 |
12 |
$206.81 |
| M1208 |
Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
90 |
88 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
91 |
89 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
13 |
13 |
$0.00 |