| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,175 |
3,957 |
$375K |
| V2199 |
Not otherwise classified, single vision lens |
3,361 |
3,136 |
$218K |
| V2020 |
Frames, purchases |
3,720 |
3,501 |
$218K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,576 |
1,453 |
$151K |
| 92015 |
Determination of refractive state |
6,269 |
5,714 |
$61K |
| 92250 |
|
15 |
13 |
$297.37 |
| G8482 |
Influenza immunization administered or previously received |
124 |
120 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
586 |
553 |
$0.00 |
| 4040F |
|
412 |
392 |
$0.00 |
| G8442 |
Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter |
23 |
21 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
269 |
264 |
$0.00 |
| 1036F |
|
530 |
509 |
$0.00 |
| V2782 |
Lens, index 1.54 to 1.65 plastic or 1.60 to 1.79 glass, excludes polycarbonate, per lens |
12 |
12 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
17 |
15 |
$0.00 |