| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,814 |
2,760 |
$109K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,261 |
1,228 |
$49K |
| V2020 |
Frames, purchases |
2,750 |
2,677 |
$40K |
| 92015 |
Determination of refractive state |
3,153 |
3,092 |
$29K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,005 |
1,951 |
$25K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
761 |
757 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
895 |
881 |
$18K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,082 |
2,025 |
$15K |
| 92341 |
|
126 |
123 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
115 |
113 |
$1K |
| 92082 |
|
56 |
56 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$793.68 |
| 92133 |
|
42 |
42 |
$622.44 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
14 |
13 |
$527.80 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
14 |
14 |
$180.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,372 |
1,315 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
120 |
115 |
$0.00 |
| 1036F |
|
1,492 |
1,434 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
1,321 |
1,251 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,806 |
1,725 |
$0.00 |
| 4004F |
|
115 |
113 |
$0.00 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
37 |
37 |
$0.00 |