| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13,119 |
11,922 |
$769K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,946 |
4,373 |
$353K |
| V2020 |
Frames, purchases |
13,063 |
11,591 |
$176K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,177 |
3,580 |
$146K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,077 |
4,609 |
$114K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
8,409 |
7,746 |
$101K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
1,863 |
1,519 |
$98K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
4,392 |
3,962 |
$96K |
| 92015 |
Determination of refractive state |
14,655 |
12,841 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,102 |
2,831 |
$33K |
| 92250 |
|
1,496 |
1,248 |
$33K |
| V2781 |
Progressive lens, per lens |
76 |
67 |
$8K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
44 |
$4K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
104 |
96 |
$2K |
| V2799 |
Vision item or service, miscellaneous |
230 |
211 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
37 |
35 |
$2K |
| 92020 |
|
118 |
95 |
$1K |
| 92341 |
|
87 |
82 |
$933.61 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
14 |
12 |
$383.26 |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
13 |
12 |
$232.47 |
| 3072F |
|
43 |
37 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
123 |
108 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
271 |
243 |
$0.00 |
| 1036F |
|
239 |
199 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
38 |
29 |
$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 |
16 |
14 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
368 |
319 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
491 |
387 |
$0.00 |
| 5010F |
|
16 |
14 |
$0.00 |