| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,936 |
8,353 |
$692K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,220 |
2,083 |
$218K |
| 92015 |
Determination of refractive state |
8,989 |
8,402 |
$203K |
| V2020 |
Frames, purchases |
6,657 |
6,137 |
$199K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,912 |
8,307 |
$176K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,762 |
3,840 |
$102K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,335 |
1,190 |
$51K |
| 92250 |
|
2,542 |
2,369 |
$36K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,229 |
2,112 |
$31K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
910 |
649 |
$16K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
103 |
63 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
145 |
103 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
49 |
$3K |
| 92002 |
|
12 |
12 |
$835.68 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,805 |
3,393 |
$471.61 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
9,583 |
8,354 |
$306.39 |
| 92133 |
|
15 |
14 |
$304.27 |
| 92341 |
|
12 |
12 |
$288.00 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
15 |
15 |
$196.17 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
3,190 |
2,731 |
$138.87 |
| 1036F |
|
652 |
608 |
$106.73 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
1,061 |
883 |
$100.83 |
| G8430 |
Documentation of a medical reason(s) for not documenting, updating, or reviewing the patient's current medications list (e.g., patient is in an acute health crisis where time is of the essence and delay of treatment would jeopardize the patient's health status) |
1,913 |
1,564 |
$30.24 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
2,797 |
2,441 |
$13.61 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
33 |
27 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
2,738 |
2,340 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
413 |
350 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
1,148 |
1,006 |
$0.00 |
| G2103 |
Seven standard field stereoscopic photos with interpretation by an ophthalmologist or optometrist documented and reviewed |
142 |
127 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
195 |
143 |
$0.00 |
| G8755 |
Most recent diastolic blood pressure >= 90 mmhg |
61 |
39 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
2,287 |
2,032 |
$0.00 |
| 2026F |
|
567 |
490 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
685 |
580 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
205 |
171 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
250 |
209 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
88 |
79 |
$0.00 |
| 2022F |
|
38 |
30 |
$0.00 |
| G2104 |
Eye imaging validated to match diagnosis from seven standard field stereoscopic photos results documented and reviewed |
28 |
28 |
$0.00 |