| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,666 |
1,589 |
$109K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
866 |
817 |
$75K |
| V2020 |
Frames, purchases |
2,151 |
2,069 |
$62K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,142 |
2,066 |
$62K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,547 |
1,495 |
$26K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,703 |
1,643 |
$13K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
341 |
323 |
$5K |
| V2760 |
Scratch resistant coating, per lens |
1,701 |
1,641 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
14 |
$682.08 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$197.56 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$190.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,492 |
1,380 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
306 |
271 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
447 |
424 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
59 |
54 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
638 |
566 |
$0.00 |
| 1036F |
|
1,578 |
1,466 |
$0.00 |