| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,354 |
7,168 |
$288K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
9,989 |
9,743 |
$194K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,424 |
4,320 |
$185K |
| 92015 |
Determination of refractive state |
12,252 |
11,995 |
$106K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,997 |
5,837 |
$84K |
| 92250 |
|
1,580 |
1,545 |
$43K |
| 92341 |
|
1,792 |
1,727 |
$42K |
| V2020 |
Frames, purchases |
839 |
823 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
108 |
107 |
$7K |
| V2760 |
Scratch resistant coating, per lens |
632 |
617 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
233 |
229 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
749 |
734 |
$4K |
| V2755 |
U-v lens, per lens |
596 |
583 |
$3K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
135 |
131 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
42 |
39 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
13 |
13 |
$490.10 |
| 3072F |
|
120 |
119 |
$0.00 |
| 1036F |
|
35 |
32 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
67 |
62 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
24 |
24 |
$0.00 |