| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
2,703 |
2,305 |
$44K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
565 |
449 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
771 |
555 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
744 |
710 |
$16K |
| 92002 |
|
311 |
283 |
$16K |
| V2020 |
Frames, purchases |
1,405 |
1,292 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
175 |
125 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
367 |
256 |
$6K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
668 |
603 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
74 |
65 |
$716.32 |
| 92134 |
|
78 |
54 |
$492.61 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
59 |
25 |
$330.06 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
84 |
71 |
$11.87 |
| 1036F |
|
45 |
37 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
959 |
700 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
41 |
37 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
305 |
274 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
115 |
103 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
13 |
13 |
$0.00 |