| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,983 |
1,785 |
$104K |
| 92015 |
Determination of refractive state |
2,354 |
2,093 |
$79K |
| 92250 |
|
1,810 |
1,640 |
$59K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,584 |
1,474 |
$44K |
| V2020 |
Frames, purchases |
1,244 |
1,145 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
139 |
118 |
$9K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
612 |
369 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
418 |
372 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
102 |
87 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
54 |
48 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
78 |
65 |
$333.68 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
103 |
99 |
$0.00 |
| 2033F |
|
13 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
141 |
135 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
16 |
12 |
$0.00 |