| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,787 |
2,741 |
$196K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,689 |
4,382 |
$190K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,588 |
3,527 |
$182K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,317 |
7,797 |
$125K |
| V2020 |
Frames, purchases |
4,111 |
4,071 |
$114K |
| 92250 |
|
5,496 |
5,456 |
$95K |
| 92015 |
Determination of refractive state |
7,696 |
7,532 |
$83K |
| 92083 |
|
2,483 |
2,468 |
$75K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
5,422 |
3,453 |
$72K |
| 92273 |
|
1,870 |
1,855 |
$71K |
| 76512 |
|
2,258 |
2,233 |
$57K |
| 92133 |
|
3,444 |
3,406 |
$57K |
| 92285 |
|
5,634 |
5,573 |
$51K |
| 68110 |
|
421 |
395 |
$47K |
| 92136 |
|
1,903 |
1,892 |
$45K |
| 92134 |
|
2,460 |
2,435 |
$41K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
341 |
336 |
$34K |
| 92341 |
|
1,800 |
1,662 |
$31K |
| 92275 |
|
551 |
543 |
$29K |
| 76514 |
|
5,449 |
5,397 |
$26K |
| 92020 |
|
1,319 |
1,290 |
$16K |
| 68801 |
|
286 |
258 |
$14K |
| 67840 |
|
130 |
98 |
$13K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
172 |
172 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
162 |
158 |
$6K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
161 |
161 |
$6K |
| 68020 |
|
95 |
87 |
$6K |
| 67210 |
|
43 |
40 |
$5K |
| 76513 |
|
172 |
170 |
$5K |
| 68340 |
|
13 |
12 |
$4K |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
208 |
105 |
$2K |
| 66821 |
|
13 |
12 |
$931.06 |
| 67850 |
|
15 |
12 |
$789.75 |
| 67820 |
|
71 |
64 |
$710.01 |
| V2756 |
Eye glass case |
1,347 |
1,333 |
$226.70 |
| 2022F |
|
356 |
346 |
$0.22 |
| 3008F |
|
1,059 |
1,046 |
$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 |
194 |
192 |
$0.00 |
| 1036F |
|
646 |
636 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
671 |
659 |
$0.00 |
| 2023F |
|
142 |
142 |
$0.00 |
| 3288F |
|
696 |
687 |
$0.00 |
| 5010F |
|
443 |
434 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
84 |
82 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,356 |
1,336 |
$0.00 |
| 2027F |
|
327 |
319 |
$0.00 |