| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,315 |
3,255 |
$102K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,492 |
1,479 |
$54K |
| 92134 |
|
2,371 |
2,346 |
$28K |
| 92250 |
|
1,716 |
1,702 |
$23K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
222 |
217 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
337 |
333 |
$12K |
| 92201 |
|
1,810 |
1,798 |
$11K |
| 92083 |
|
551 |
540 |
$9K |
| 92226 |
|
369 |
213 |
$5K |
| 92020 |
|
604 |
598 |
$4K |
| 92133 |
|
487 |
481 |
$4K |
| 92136 |
|
96 |
94 |
$892.30 |
| V2020 |
Frames, purchases |
110 |
110 |
$552.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
24 |
12 |
$287.56 |
| 76519 |
|
13 |
13 |
$155.81 |
| 1036F |
|
3,424 |
3,314 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
3,100 |
2,995 |
$0.00 |
| 4177F |
|
877 |
868 |
$0.00 |
| V2755 |
U-v lens, per lens |
24 |
12 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
88 |
44 |
$0.00 |
| 3284F |
|
93 |
92 |
$0.00 |
| 2019F |
|
25 |
25 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,458 |
3,351 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
1,788 |
1,735 |
$0.00 |
| 0517F |
|
770 |
760 |
$0.00 |
| 2027F |
|
109 |
107 |
$0.00 |
| G9974 |
Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity |
478 |
475 |
$0.00 |
| 99072 |
|
36 |
35 |
$0.00 |