| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,899 |
3,671 |
$201K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,467 |
1,400 |
$109K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,351 |
3,275 |
$57K |
| V2750 |
Anti-reflective coating, per lens |
876 |
860 |
$47K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,848 |
957 |
$41K |
| 92015 |
Determination of refractive state |
4,724 |
4,559 |
$37K |
| 92250 |
|
941 |
821 |
$23K |
| V2499 |
Variable sphericity lens, other type |
378 |
263 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
543 |
436 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
317 |
252 |
$15K |
| V2020 |
Frames, purchases |
1,361 |
1,330 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,061 |
1,082 |
$8K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,128 |
678 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
591 |
356 |
$3K |
| 92275 |
|
43 |
41 |
$500.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
48 |
41 |
$157.60 |
| G9368 |
At least two orders for high-risk medications from the same drug class not ordered |
69 |
36 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
194 |
173 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
22 |
13 |
$0.00 |
| 83516 |
|
34 |
12 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
898 |
797 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
108 |
99 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
653 |
580 |
$0.00 |
| 1036F |
|
123 |
99 |
$0.00 |