| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
511 |
467 |
$39K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,161 |
1,012 |
$26K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,413 |
1,167 |
$26K |
| 92015 |
Determination of refractive state |
851 |
784 |
$5K |
| 92134 |
|
675 |
588 |
$4K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
49 |
49 |
$2K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
56 |
56 |
$997.55 |
| 92002 |
|
14 |
14 |
$890.24 |
| 68761 |
|
22 |
15 |
$846.37 |
| V2025 |
Deluxe frame |
12 |
12 |
$530.52 |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
16 |
16 |
$43.75 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
565 |
468 |
$0.00 |
| 1036F |
|
2,644 |
2,146 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
997 |
790 |
$0.00 |
| 3072F |
|
48 |
37 |
$0.00 |
| 3284F |
|
148 |
125 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
134 |
118 |
$0.00 |
| 3285F |
|
147 |
125 |
$0.00 |
| 2022F |
|
285 |
242 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,605 |
2,167 |
$0.00 |
| 0517F |
|
707 |
586 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
1,037 |
817 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
2,077 |
1,712 |
$0.00 |
| 2026F |
|
284 |
242 |
$0.00 |
| 2024F |
|
284 |
241 |
$0.00 |
| 2027F |
|
373 |
316 |
$0.00 |
| V2020 |
Frames, purchases |
43 |
43 |
$0.00 |