| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,876 |
1,731 |
$105K |
| V2020 |
Frames, purchases |
988 |
988 |
$49K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
678 |
629 |
$42K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
354 |
351 |
$22K |
| 92015 |
Determination of refractive state |
1,278 |
1,160 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
88 |
81 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
24 |
24 |
$2K |
| 92250 |
|
44 |
38 |
$1K |
| 1036F |
|
148 |
144 |
$175.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$120.00 |
| 5010F |
|
25 |
25 |
$25.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
530 |
501 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
278 |
249 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
42 |
41 |
$0.00 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
24 |
24 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
124 |
120 |
$0.00 |