| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,936 |
4,821 |
$322K |
| V2750 |
Anti-reflective coating, per lens |
2,407 |
2,345 |
$226K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,343 |
2,285 |
$201K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,570 |
6,361 |
$113K |
| V2020 |
Frames, purchases |
6,664 |
6,495 |
$90K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,691 |
6,513 |
$89K |
| 92015 |
Determination of refractive state |
7,347 |
7,168 |
$62K |
| V2499 |
Variable sphericity lens, other type |
1,625 |
850 |
$59K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,270 |
3,599 |
$33K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,843 |
1,241 |
$8K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
168 |
110 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
176 |
119 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
17 |
15 |
$630.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
60 |
54 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
74 |
68 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
58 |
52 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
13 |
13 |
$0.00 |
| 1036F |
|
72 |
66 |
$0.00 |