| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,544 |
3,486 |
$151K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,996 |
1,968 |
$104K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,601 |
2,194 |
$94K |
| V2020 |
Frames, purchases |
4,825 |
4,627 |
$61K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
965 |
486 |
$21K |
| 92250 |
|
725 |
593 |
$12K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
141 |
127 |
$6K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
9,537 |
4,588 |
$5K |
| 92015 |
Determination of refractive state |
4,364 |
4,313 |
$5K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
116 |
55 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
156 |
156 |
$2K |
| 92341 |
|
27 |
26 |
$500.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
145 |
145 |
$0.00 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
68 |
68 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
64 |
64 |
$0.00 |
| 4004F |
|
12 |
12 |
$0.00 |
| 1036F |
|
15 |
15 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
122 |
121 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
13 |
13 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
12 |
12 |
$0.00 |