| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,189 |
2,137 |
$89K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,054 |
1,036 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,498 |
1,378 |
$45K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,740 |
1,145 |
$30K |
| V2020 |
Frames, purchases |
1,704 |
1,685 |
$23K |
| 92134 |
|
731 |
723 |
$18K |
| 92250 |
|
415 |
411 |
$15K |
| 92133 |
|
637 |
632 |
$15K |
| 92201 |
|
788 |
708 |
$12K |
| 92202 |
|
885 |
842 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
106 |
106 |
$5K |
| 92083 |
|
95 |
94 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
35 |
35 |
$3K |
| 68761 |
|
86 |
51 |
$3K |
| 92226 |
|
199 |
193 |
$3K |
| 92015 |
Determination of refractive state |
315 |
307 |
$3K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,076 |
631 |
$2K |
| 92225 |
|
30 |
30 |
$619.75 |
| G8785 |
Blood pressure reading not documented, reason not given |
12 |
12 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
73 |
70 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
72 |
67 |
$0.00 |