| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
871 |
832 |
$75K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,075 |
1,017 |
$68K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,265 |
1,209 |
$35K |
| V2020 |
Frames, purchases |
1,544 |
1,469 |
$26K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,006 |
954 |
$19K |
| 92015 |
Determination of refractive state |
1,472 |
1,424 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
685 |
666 |
$12K |
| V2760 |
Scratch resistant coating, per lens |
688 |
655 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
260 |
232 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62 |
54 |
$2K |
| 92370 |
|
12 |
12 |
$348.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
44 |
43 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
13 |
12 |
$0.00 |
| 1036F |
|
21 |
18 |
$0.00 |