| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
7,950 |
7,141 |
$258K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,304 |
4,970 |
$219K |
| V2020 |
Frames, purchases |
5,168 |
4,897 |
$144K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,381 |
2,224 |
$138K |
| 92250 |
|
3,176 |
2,919 |
$100K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,550 |
2,432 |
$81K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,374 |
3,225 |
$69K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
3,014 |
2,872 |
$66K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,906 |
1,577 |
$50K |
| 92083 |
|
1,185 |
1,087 |
$37K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
751 |
718 |
$33K |
| 92341 |
|
934 |
889 |
$21K |
| 92133 |
|
908 |
834 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
458 |
427 |
$12K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
318 |
278 |
$6K |
| 92370 |
|
114 |
108 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
53 |
52 |
$2K |
| 92060 |
|
46 |
44 |
$1K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$595.20 |
| 92134 |
|
27 |
27 |
$447.91 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$298.35 |
| V2715 |
Prism, per lens |
72 |
60 |
$217.71 |
| 76514 |
|
37 |
36 |
$191.80 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
553 |
517 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
441 |
415 |
$0.00 |
| V2702 |
Deluxe lens feature |
157 |
150 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
28 |
13 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
41 |
37 |
$0.00 |