| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,224 |
2,113 |
$144K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
919 |
883 |
$80K |
| V2020 |
Frames, purchases |
2,620 |
2,478 |
$79K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,296 |
2,196 |
$65K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,011 |
1,853 |
$39K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,763 |
1,670 |
$13K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
265 |
249 |
$5K |
| V2760 |
Scratch resistant coating, per lens |
1,794 |
1,698 |
$3K |
| V2755 |
U-v lens, per lens |
158 |
150 |
$2K |
| 92370 |
|
24 |
24 |
$696.00 |
| 92015 |
Determination of refractive state |
2,732 |
2,571 |
$626.82 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
14 |
$511.56 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
84 |
80 |
$0.00 |
| 1036F |
|
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |