| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,150 |
3,693 |
$285K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,470 |
1,348 |
$109K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,376 |
1,962 |
$105K |
| V2020 |
Frames, purchases |
2,306 |
1,987 |
$89K |
| 92015 |
Determination of refractive state |
6,528 |
5,805 |
$72K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
892 |
782 |
$52K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,230 |
1,025 |
$32K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,036 |
835 |
$28K |
| 92250 |
|
993 |
852 |
$25K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
261 |
240 |
$15K |
| 92133 |
|
491 |
419 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
190 |
156 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
305 |
253 |
$6K |
| 92065 |
|
183 |
56 |
$5K |
| 92060 |
|
75 |
65 |
$3K |
| S0500 |
Disposable contact lens, per lens |
16 |
16 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
28 |
28 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
58 |
54 |
$725.99 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
13 |
12 |
$331.33 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
13 |
12 |
$266.38 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
746 |
649 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
301 |
250 |
$0.00 |
| 1036F |
|
964 |
785 |
$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 |
23 |
18 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
13 |
13 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,459 |
1,149 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
186 |
163 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
1,514 |
1,250 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
842 |
626 |
$0.00 |
| 2027F |
|
33 |
25 |
$0.00 |
| 5010F |
|
23 |
18 |
$0.00 |
| 2022F |
|
22 |
17 |
$0.00 |
| G8442 |
Pain assessment not documented as being performed, documentation the patient is not eligible for a pain assessment using a standardized tool at the time of the encounter |
30 |
27 |
$0.00 |