| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,027 |
967 |
$50K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
489 |
474 |
$43K |
| V2020 |
Frames, purchases |
1,104 |
1,033 |
$25K |
| 92250 |
|
319 |
268 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47 |
39 |
$2K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
58 |
56 |
$2K |
| V2756 |
Eye glass case |
545 |
519 |
$529.73 |
| 92015 |
Determination of refractive state |
29 |
28 |
$285.95 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
64 |
61 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$0.00 |
| 1036F |
|
13 |
13 |
$0.00 |