| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,608 |
1,595 |
$69K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,531 |
2,477 |
$51K |
| V2020 |
Frames, purchases |
3,166 |
3,063 |
$50K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
631 |
610 |
$46K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
776 |
770 |
$33K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
378 |
357 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
71 |
67 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
465 |
444 |
$5K |
| 92015 |
Determination of refractive state |
1,165 |
1,117 |
$5K |
| V2025 |
Deluxe frame |
59 |
58 |
$2K |
| 92250 |
|
14 |
12 |
$67.08 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
197 |
191 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
28 |
27 |
$0.00 |
| G9368 |
At least two orders for high-risk medications from the same drug class not ordered |
58 |
56 |
$0.00 |