| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
20,445 |
17,888 |
$1.68M |
| V2020 |
Frames, purchases |
25,112 |
22,250 |
$1.43M |
| V2199 |
Not otherwise classified, single vision lens |
19,829 |
17,807 |
$1.17M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
8,613 |
7,901 |
$964K |
| 92015 |
Determination of refractive state |
28,721 |
26,589 |
$300K |
| V2299 |
Specialty bifocal (by report) |
2,776 |
2,591 |
$260K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,486 |
1,668 |
$70K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,395 |
1,307 |
$50K |
| V2781 |
Progressive lens, per lens |
175 |
159 |
$24K |
| 92250 |
|
409 |
325 |
$13K |
| 92134 |
|
558 |
400 |
$9K |
| 92133 |
|
451 |
322 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
177 |
127 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
215 |
160 |
$5K |
| 92083 |
|
86 |
62 |
$3K |
| 92370 |
|
81 |
78 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
28 |
$2K |
| V2715 |
Prism, per lens |
188 |
172 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
16 |
16 |
$960.00 |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
13 |
12 |
$854.40 |
| 4177F |
|
55 |
54 |
$0.00 |
| 3284F |
|
51 |
51 |
$0.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
142 |
142 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
391 |
362 |
$0.00 |
| G9366 |
One high-risk medication not ordered |
161 |
151 |
$0.00 |
| 1036F |
|
425 |
375 |
$0.00 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
54 |
54 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
168 |
166 |
$0.00 |
| M1208 |
Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
236 |
228 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
47 |
44 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
16 |
15 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
15 |
14 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
4,165 |
3,999 |
$0.00 |
| G9368 |
At least two orders for high-risk medications from the same drug class not ordered |
1,209 |
1,147 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
627 |
603 |
$0.00 |
| 2022F |
|
457 |
453 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
193 |
186 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
1,570 |
1,535 |
$0.00 |
| 2027F |
|
97 |
95 |
$0.00 |
| M1210 |
At least two orders for high-risk medications from the same drug class, (table 4), not ordered |
373 |
359 |
$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 |
73 |
70 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
23 |
23 |
$0.00 |
| G2102 |
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed |
12 |
12 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
12 |
12 |
$0.00 |