| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,894 |
4,882 |
$387K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,430 |
5,407 |
$338K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
10,188 |
5,113 |
$209K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,438 |
3,433 |
$169K |
| V2020 |
Frames, purchases |
7,475 |
7,243 |
$109K |
| 92002 |
|
2,237 |
2,234 |
$102K |
| 92015 |
Determination of refractive state |
10,768 |
10,643 |
$44K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,201 |
626 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
264 |
259 |
$16K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
780 |
384 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
13,510 |
6,575 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
15 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
188 |
187 |
$1K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
24 |
12 |
$685.92 |
| 92341 |
|
44 |
44 |
$420.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
928 |
923 |
$17.47 |
| 1036F |
|
706 |
701 |
$17.47 |
| G9909 |
Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months if identified as a tobacco user (e.g., limited life expectancy, other medical reason) |
45 |
45 |
$0.00 |
| 5010F |
|
773 |
772 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
597 |
586 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
159 |
159 |
$0.00 |
| 2022F |
|
12 |
12 |
$0.00 |
| 2023F |
|
579 |
579 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
626 |
619 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
145 |
143 |
$0.00 |