| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
3,223 |
3,067 |
$115K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,362 |
2,189 |
$109K |
| V2020 |
Frames, purchases |
2,607 |
2,446 |
$73K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,896 |
1,789 |
$62K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
717 |
671 |
$45K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,950 |
1,857 |
$40K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
617 |
561 |
$28K |
| 92341 |
|
558 |
512 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
372 |
269 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
345 |
279 |
$8K |
| 92083 |
|
139 |
112 |
$3K |
| 92250 |
|
114 |
94 |
$3K |
| 92133 |
|
67 |
51 |
$1K |
| 92020 |
|
108 |
91 |
$855.96 |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
14 |
14 |
$412.72 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
67 |
62 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
26 |
25 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
71 |
64 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
84 |
73 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
12 |
12 |
$0.00 |