| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,081 |
2,076 |
$142K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,769 |
1,766 |
$82K |
| 92250 |
|
1,862 |
1,860 |
$68K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,256 |
1,748 |
$57K |
| 92083 |
|
1,377 |
1,375 |
$53K |
| V2020 |
Frames, purchases |
2,743 |
2,717 |
$45K |
| 76512 |
|
277 |
277 |
$13K |
| 68761 |
|
296 |
296 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
289 |
272 |
$8K |
| 92285 |
|
294 |
294 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
197 |
106 |
$5K |
| 92225 |
|
259 |
130 |
$3K |
| 92226 |
|
312 |
159 |
$3K |
| 92133 |
|
58 |
58 |
$1K |
| 92020 |
|
53 |
53 |
$700.70 |
| 92202 |
|
12 |
12 |
$145.96 |
| 1036F |
|
470 |
441 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
508 |
254 |
$0.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
13 |
$0.00 |
| V2755 |
U-v lens, per lens |
120 |
60 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
30 |
15 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
13 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
477 |
446 |
$0.00 |
| 2027F |
|
28 |
27 |
$0.00 |