| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,519 |
8,054 |
$708K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,188 |
4,008 |
$433K |
| 92015 |
Determination of refractive state |
11,611 |
10,913 |
$297K |
| V2020 |
Frames, purchases |
9,020 |
8,409 |
$273K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,704 |
7,210 |
$147K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,849 |
4,803 |
$130K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
722 |
676 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
747 |
617 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
483 |
451 |
$15K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
301 |
198 |
$8K |
| 92341 |
|
255 |
252 |
$6K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
248 |
183 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
146 |
136 |
$4K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
15 |
12 |
$489.88 |
| 99442 |
|
24 |
13 |
$187.72 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,664 |
1,524 |
$49.25 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
3,196 |
3,024 |
$28.94 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
377 |
376 |
$11.76 |
| 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) |
444 |
437 |
$0.00 |
| 3284F |
|
327 |
300 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
24 |
24 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
98 |
97 |
$0.00 |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
33 |
32 |
$0.00 |
| 2022F |
|
337 |
337 |
$0.00 |
| G2102 |
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed |
37 |
37 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
360 |
352 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
399 |
390 |
$0.00 |
| 5010F |
|
131 |
131 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
95 |
92 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
28 |
28 |
$0.00 |