| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,860 |
1,792 |
$151K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,338 |
2,287 |
$135K |
| 92250 |
|
3,209 |
3,099 |
$129K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,006 |
1,914 |
$80K |
| 92083 |
|
1,603 |
1,525 |
$62K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,648 |
3,541 |
$62K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,331 |
1,299 |
$49K |
| V2750 |
Anti-reflective coating, per lens |
662 |
649 |
$46K |
| V2499 |
Variable sphericity lens, other type |
753 |
735 |
$37K |
| 92015 |
Determination of refractive state |
4,297 |
4,205 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
409 |
400 |
$30K |
| V2020 |
Frames, purchases |
2,345 |
2,279 |
$26K |
| 92133 |
|
1,040 |
1,022 |
$26K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,351 |
2,284 |
$22K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,228 |
1,204 |
$19K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
573 |
565 |
$8K |
| V2755 |
U-v lens, per lens |
749 |
731 |
$3K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
60 |
60 |
$1K |
| 92273 |
|
14 |
14 |
$779.22 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
155 |
143 |
$546.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
30 |
30 |
$148.00 |
| 76514 |
|
13 |
12 |
$88.00 |
| 3285F |
|
30 |
30 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
243 |
197 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
152 |
124 |
$0.00 |
| G9368 |
At least two orders for high-risk medications from the same drug class not ordered |
162 |
129 |
$0.00 |
| 0517F |
|
30 |
30 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
12 |
12 |
$0.00 |
| G0029 |
Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period |
12 |
12 |
$0.00 |
| M1210 |
At least two orders for high-risk medications from the same drug class, (table 4), not ordered |
113 |
81 |
$0.00 |