| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
12,867 |
11,922 |
$870K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,842 |
7,225 |
$607K |
| V2020 |
Frames, purchases |
8,260 |
8,100 |
$302K |
| 92250 |
|
7,666 |
6,895 |
$225K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,134 |
3,915 |
$209K |
| 92015 |
Determination of refractive state |
13,402 |
11,961 |
$166K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,522 |
1,489 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
566 |
458 |
$36K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
295 |
291 |
$20K |
| 92083 |
|
426 |
386 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
414 |
304 |
$16K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
951 |
940 |
$7K |
| V2025 |
Deluxe frame |
41 |
41 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
111 |
111 |
$923.40 |
| 92285 |
|
48 |
42 |
$697.28 |
| 92133 |
|
26 |
25 |
$544.92 |
| 92310 |
|
29 |
29 |
$165.00 |
| 92134 |
|
16 |
14 |
$113.35 |
| 98960 |
|
1,826 |
1,525 |
$5.25 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
210 |
180 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
466 |
391 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
1,052 |
885 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
97 |
81 |
$0.00 |
| G8418 |
Bmi is documented below normal parameters and a follow-up plan is documented |
45 |
43 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,879 |
1,565 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
286 |
242 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
318 |
278 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
205 |
163 |
$0.00 |
| G8753 |
Most recent systolic blood pressure >= 140 mmhg |
73 |
52 |
$0.00 |
| 2026F |
|
23 |
22 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
15 |
12 |
$0.00 |
| 2022F |
|
13 |
12 |
$0.00 |