| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
7,135 |
6,505 |
$387K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,093 |
5,635 |
$227K |
| 92015 |
Determination of refractive state |
11,415 |
10,285 |
$193K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,905 |
3,734 |
$99K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,690 |
2,516 |
$93K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,033 |
2,899 |
$84K |
| V2020 |
Frames, purchases |
3,513 |
3,380 |
$80K |
| 92083 |
|
3,973 |
3,659 |
$75K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,288 |
1,219 |
$70K |
| 92250 |
|
2,059 |
1,886 |
$46K |
| 92285 |
|
2,911 |
2,556 |
$33K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,665 |
1,597 |
$32K |
| 92341 |
|
1,297 |
1,207 |
$31K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
520 |
496 |
$21K |
| 83861 |
|
1,081 |
514 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
125 |
119 |
$10K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
401 |
383 |
$7K |
| 83516 |
|
991 |
463 |
$6K |
| 92020 |
|
580 |
554 |
$4K |
| 92284 |
|
199 |
191 |
$3K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
648 |
609 |
$2K |
| 92133 |
|
228 |
215 |
$2K |
| 92275 |
|
72 |
70 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
215 |
184 |
$1K |
| 92283 |
|
113 |
110 |
$1K |
| 95930 |
|
52 |
52 |
$947.10 |
| 92273 |
|
30 |
25 |
$738.74 |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
29 |
28 |
$297.60 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
18 |
13 |
$291.06 |
| G8732 |
No documentation of pain assessment, reason not given |
783 |
732 |
$0.00 |
| 1036F |
|
690 |
576 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
376 |
348 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
118 |
97 |
$0.00 |
| 3284F |
|
23 |
18 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
17 |
16 |
$0.00 |
| 5010F |
|
34 |
32 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,440 |
2,234 |
$0.00 |
| G9368 |
At least two orders for high-risk medications from the same drug class not ordered |
29 |
28 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
96 |
91 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
380 |
338 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
94 |
74 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
54 |
47 |
$0.00 |
| 4004F |
|
54 |
51 |
$0.00 |
| 2027F |
|
21 |
17 |
$0.00 |
| 2022F |
|
50 |
46 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
33 |
29 |
$0.00 |
| 0509T |
|
15 |
13 |
$0.00 |