| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
10,396 |
9,868 |
$1.01M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,450 |
10,510 |
$945K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,579 |
9,906 |
$727K |
| V2020 |
Frames, purchases |
11,012 |
10,861 |
$563K |
| 92015 |
Determination of refractive state |
29,943 |
28,075 |
$432K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,347 |
5,693 |
$305K |
| 92250 |
|
8,932 |
8,192 |
$230K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
4,069 |
3,550 |
$212K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
2,690 |
2,545 |
$80K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
617 |
578 |
$61K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
554 |
549 |
$42K |
| 92083 |
|
655 |
620 |
$26K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,850 |
4,689 |
$21K |
| 83861 |
|
1,461 |
770 |
$20K |
| 92133 |
|
606 |
575 |
$16K |
| 92082 |
|
430 |
411 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
181 |
172 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
409 |
408 |
$8K |
| 92134 |
|
149 |
135 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
50 |
40 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
38 |
38 |
$2K |
| 99072 |
|
2,496 |
2,230 |
$1K |
| V2750 |
Anti-reflective coating, per lens |
479 |
467 |
$1K |
| 76514 |
|
109 |
100 |
$947.13 |
| V2025 |
Deluxe frame |
17 |
17 |
$906.84 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$685.00 |
| V2755 |
U-v lens, per lens |
689 |
678 |
$363.40 |
| V2744 |
Tint, photochromatic, per lens |
249 |
243 |
$296.44 |
| V2760 |
Scratch resistant coating, per lens |
13 |
13 |
$140.00 |
| V2781 |
Progressive lens, per lens |
15 |
15 |
$26.59 |
| G8732 |
No documentation of pain assessment, reason not given |
998 |
646 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
340 |
223 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
234 |
139 |
$0.00 |
| 1036F |
|
67 |
45 |
$0.00 |
| G9366 |
One high-risk medication not ordered |
30 |
24 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,767 |
1,122 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
39 |
24 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
197 |
122 |
$0.00 |
| G9368 |
At least two orders for high-risk medications from the same drug class not ordered |
30 |
24 |
$0.00 |