| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,573 |
1,366 |
$64K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,375 |
1,279 |
$61K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,002 |
995 |
$27K |
| V2020 |
Frames, purchases |
546 |
543 |
$11K |
| V2025 |
Deluxe frame |
209 |
209 |
$11K |
| 92015 |
Determination of refractive state |
3,779 |
3,401 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,091 |
1,083 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
85 |
68 |
$3K |
| 99199 |
Unlisted special service, procedure or report |
698 |
697 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
50 |
43 |
$0.00 |
| 4004F |
|
84 |
72 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
67 |
56 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
32 |
27 |
$0.00 |
| 1036F |
|
27 |
26 |
$0.00 |