| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
9,433 |
9,337 |
$816K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
29,165 |
26,185 |
$724K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15,228 |
15,223 |
$644K |
| V2020 |
Frames, purchases |
24,679 |
24,658 |
$525K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,396 |
10,393 |
$422K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
15,673 |
15,658 |
$336K |
| 92015 |
Determination of refractive state |
37,475 |
37,432 |
$330K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
7,467 |
7,461 |
$249K |
| 92250 |
|
2,680 |
2,666 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
5,424 |
4,650 |
$74K |
| 92341 |
|
2,315 |
2,314 |
$73K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
2,095 |
2,091 |
$58K |
| 92002 |
|
990 |
990 |
$36K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
553 |
551 |
$24K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
646 |
643 |
$15K |
| 92134 |
|
764 |
763 |
$13K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
254 |
254 |
$8K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
139 |
137 |
$8K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
643 |
559 |
$2K |
| 92202 |
|
38 |
38 |
$1K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
12 |
12 |
$377.06 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,193 |
1,759 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
2,136 |
1,718 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
941 |
831 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
353 |
334 |
$0.00 |
| 5010F |
|
13 |
13 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
33 |
33 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,988 |
1,599 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
311 |
280 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
149 |
122 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
232 |
212 |
$0.00 |
| G8419 |
Bmi documented outside normal parameters, no follow-up plan documented, no reason given |
19 |
18 |
$0.00 |
| M1220 |
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; with evidence of retinopathy |
13 |
13 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
26 |
26 |
$0.00 |