| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,764 |
4,527 |
$187K |
| 92250 |
|
7,134 |
6,871 |
$148K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,734 |
6,489 |
$137K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,213 |
3,086 |
$135K |
| 92341 |
|
3,076 |
2,915 |
$69K |
| V2020 |
Frames, purchases |
5,616 |
5,344 |
$65K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,523 |
1,397 |
$28K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
468 |
452 |
$17K |
| 92015 |
Determination of refractive state |
3,239 |
3,042 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
389 |
369 |
$15K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
205 |
193 |
$15K |
| 92083 |
|
455 |
431 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
213 |
153 |
$5K |
| 92133 |
|
234 |
216 |
$3K |
| 92310 |
|
47 |
47 |
$3K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
19 |
19 |
$726.30 |
| 76514 |
|
75 |
72 |
$556.42 |
| V2520 |
Contact lens, hydrophilic, spherical, per lens |
13 |
13 |
$484.00 |
| V2780 |
Oversize lens, per lens |
15 |
14 |
$270.00 |
| 2026F |
|
1,180 |
1,115 |
$1.00 |
| 2022F |
|
361 |
331 |
$1.00 |
| G2104 |
Eye imaging validated to match diagnosis from seven standard field stereoscopic photos results documented and reviewed |
31 |
27 |
$0.76 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
1,061 |
1,006 |
$0.56 |
| G8785 |
Blood pressure reading not documented, reason not given |
2,067 |
1,926 |
$0.56 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
3,800 |
3,642 |
$0.00 |
| 1036F |
|
8,022 |
7,743 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
7,020 |
6,784 |
$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 |
358 |
334 |
$0.00 |
| 3072F |
|
54 |
50 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
1,343 |
1,248 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
36 |
33 |
$0.00 |
| 5010F |
|
341 |
322 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
56 |
51 |
$0.00 |