| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,105 |
8,914 |
$610K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,897 |
6,788 |
$554K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
16,558 |
16,340 |
$319K |
| V2020 |
Frames, purchases |
10,351 |
10,211 |
$289K |
| 92370 |
|
15,496 |
15,036 |
$273K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
4,432 |
4,391 |
$205K |
| 92015 |
Determination of refractive state |
15,452 |
15,141 |
$163K |
| 83861 |
|
6,701 |
3,490 |
$124K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,239 |
2,036 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,801 |
1,634 |
$84K |
| 92341 |
|
3,126 |
3,093 |
$68K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
2,131 |
2,116 |
$66K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,052 |
996 |
$58K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,293 |
3,983 |
$53K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,233 |
3,952 |
$48K |
| 92060 |
|
900 |
899 |
$33K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
692 |
688 |
$31K |
| 92250 |
|
1,433 |
1,402 |
$30K |
| 92133 |
|
435 |
430 |
$8K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
527 |
446 |
$7K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
548 |
421 |
$6K |
| 92083 |
|
172 |
170 |
$6K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
368 |
353 |
$5K |
| 76511 |
|
138 |
68 |
$4K |
| V2102 |
Sphere, single vision, plus or minus 7.12 to plus or minus 20.00d, per lens |
304 |
270 |
$4K |
| 92310 |
|
151 |
149 |
$3K |
| 92225 |
|
170 |
102 |
$2K |
| 92342 |
|
100 |
97 |
$2K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
159 |
143 |
$2K |
| 92134 |
|
111 |
109 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
27 |
26 |
$1K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,272 |
3,204 |
$1K |
| V2202 |
Sphere, bifocal, plus or minus 7.12 to plus or minus 20.00d, per lens |
28 |
27 |
$390.91 |
| G8421 |
Bmi not documented and no reason is given |
401 |
357 |
$0.00 |
| V2750 |
Anti-reflective coating, per lens |
282 |
281 |
$0.00 |
| G9368 |
At least two orders for high-risk medications from the same drug class not ordered |
238 |
209 |
$0.00 |
| 2026F |
|
1,231 |
1,220 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
694 |
688 |
$0.00 |
| 2024F |
|
102 |
101 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,115 |
2,004 |
$0.00 |
| 2022F |
|
623 |
605 |
$0.00 |
| G0029 |
Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period |
189 |
172 |
$0.00 |
| M1210 |
At least two orders for high-risk medications from the same drug class, (table 4), not ordered |
219 |
193 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
1,099 |
973 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
156 |
142 |
$0.00 |
| 5010F |
|
30 |
29 |
$0.00 |
| 99072 |
|
26 |
23 |
$0.00 |
| M1221 |
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of retinopathy |
14 |
14 |
$0.00 |
| 2023F |
|
60 |
60 |
$0.00 |
| 1036F |
|
284 |
244 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
69 |
67 |
$0.00 |
| M1208 |
Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
975 |
925 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
792 |
779 |
$0.00 |
| G9460 |
Tobacco assessment or tobacco cessation intervention not performed, reason not given |
94 |
92 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
1,008 |
948 |
$0.00 |
| 3284F |
|
12 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
282 |
243 |
$0.00 |
| G9459 |
Currently a tobacco non-user |
150 |
146 |
$0.00 |
| 3072F |
|
749 |
686 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
30 |
28 |
$0.00 |