| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,866 |
1,800 |
$159K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,911 |
1,874 |
$124K |
| V2020 |
Frames, purchases |
2,437 |
2,393 |
$70K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,892 |
1,871 |
$53K |
| 92015 |
Determination of refractive state |
4,453 |
4,326 |
$38K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,562 |
1,546 |
$28K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
2,232 |
2,195 |
$23K |
| V2760 |
Scratch resistant coating, per lens |
2,193 |
2,157 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
157 |
141 |
$6K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
192 |
191 |
$4K |
| 92341 |
|
98 |
98 |
$3K |
| 92370 |
|
121 |
119 |
$3K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
232 |
225 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
130 |
126 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$948.48 |
| V2499 |
Variable sphericity lens, other type |
36 |
34 |
$835.00 |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
12 |
12 |
$430.28 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$198.18 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
3,532 |
3,354 |
$0.00 |
| 1036F |
|
3,554 |
3,372 |
$0.00 |
| 2023F |
|
102 |
95 |
$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) |
339 |
325 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
484 |
458 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
439 |
422 |
$0.00 |
| 3072F |
|
14 |
13 |
$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 |
12 |
12 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
395 |
387 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
456 |
416 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
326 |
323 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
246 |
237 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
27 |
27 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
12 |
12 |
$0.00 |