| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,486 |
9,890 |
$544K |
| 92015 |
Determination of refractive state |
15,834 |
14,579 |
$440K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
16,532 |
8,523 |
$390K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12,424 |
11,853 |
$348K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,955 |
2,772 |
$211K |
| V2020 |
Frames, purchases |
10,959 |
10,338 |
$134K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,774 |
2,683 |
$44K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,533 |
1,937 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
163 |
147 |
$8K |
| 92250 |
|
533 |
465 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
32 |
26 |
$615.43 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
19 |
12 |
$164.90 |
| 3072F |
|
30 |
30 |
$0.00 |
| 1036F |
|
18 |
16 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
62 |
55 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
50 |
43 |
$0.00 |