| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,822 |
1,719 |
$113K |
| V2020 |
Frames, purchases |
2,061 |
1,975 |
$86K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
720 |
694 |
$63K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,892 |
940 |
$50K |
| V2760 |
Scratch resistant coating, per lens |
2,360 |
1,233 |
$27K |
| 92015 |
Determination of refractive state |
2,917 |
2,758 |
$16K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
264 |
136 |
$10K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
172 |
97 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
12 |
$289.82 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
560 |
531 |
$0.00 |
| 2033F |
|
116 |
115 |
$0.00 |
| 1036F |
|
98 |
91 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
143 |
133 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
42 |
40 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
482 |
458 |
$0.00 |
| 2026F |
|
158 |
158 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
134 |
125 |
$0.00 |