| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
8,875 |
8,509 |
$202K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
7,118 |
6,845 |
$159K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,156 |
3,995 |
$149K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,776 |
3,559 |
$125K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,368 |
1,283 |
$51K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
132 |
124 |
$22K |
| G8785 |
Blood pressure reading not documented, reason not given |
778 |
713 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,009 |
1,960 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
58 |
56 |
$7K |
| 92083 |
|
50 |
47 |
$3K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
58 |
45 |
$3K |
| G9905 |
Patient not screened for tobacco use |
160 |
155 |
$2K |
| 92015 |
Determination of refractive state |
133 |
125 |
$2K |
| 92133 |
|
58 |
55 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
63 |
63 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
18 |
$2K |
| 92250 |
|
29 |
26 |
$1K |
| 76514 |
|
73 |
70 |
$842.68 |
| 92020 |
|
42 |
39 |
$735.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
885 |
815 |
$391.12 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
408 |
357 |
$111.45 |
| 1036F |
|
293 |
285 |
$0.00 |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
17 |
13 |
$0.00 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
13 |
13 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
72 |
67 |
$0.00 |