| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,596 |
6,855 |
$487K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,770 |
2,445 |
$202K |
| V2020 |
Frames, purchases |
9,072 |
8,166 |
$153K |
| 92250 |
|
4,586 |
3,855 |
$144K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,672 |
3,437 |
$80K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
6,328 |
3,330 |
$70K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
5,629 |
5,222 |
$68K |
| 92083 |
|
2,009 |
1,678 |
$64K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,702 |
1,415 |
$54K |
| 92015 |
Determination of refractive state |
10,031 |
8,828 |
$50K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,000 |
1,693 |
$20K |
| 92100 |
|
344 |
301 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
216 |
131 |
$6K |
| V2702 |
Deluxe lens feature |
110 |
102 |
$3K |
| 92133 |
|
183 |
147 |
$2K |
| V2799 |
Vision item or service, miscellaneous |
165 |
165 |
$2K |
| V2781 |
Progressive lens, per lens |
12 |
12 |
$2K |
| 76514 |
|
84 |
81 |
$554.50 |
| 92134 |
|
13 |
12 |
$181.20 |
| 1036F |
|
1,809 |
777 |
$0.01 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
78 |
40 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,261 |
986 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
148 |
111 |
$0.00 |