| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,059 |
5,027 |
$605K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,001 |
3,963 |
$298K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,906 |
4,676 |
$188K |
| V2020 |
Frames, purchases |
4,992 |
4,981 |
$174K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,410 |
3,383 |
$153K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,048 |
1,033 |
$141K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,469 |
1,432 |
$97K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
991 |
848 |
$49K |
| 92015 |
Determination of refractive state |
7,321 |
7,268 |
$43K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,745 |
1,743 |
$23K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
237 |
237 |
$19K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
141 |
141 |
$10K |
| 92341 |
|
84 |
84 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
191 |
191 |
$2K |
| 92250 |
|
43 |
42 |
$722.03 |
| 92133 |
|
29 |
28 |
$526.65 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,872 |
1,777 |
$0.17 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
928 |
903 |
$0.11 |
| 1036F |
|
1,321 |
1,297 |
$0.00 |
| 3072F |
|
15 |
15 |
$0.00 |
| 2022F |
|
112 |
110 |
$0.00 |
| 5010F |
|
13 |
13 |
$0.00 |