| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,456 |
4,028 |
$344K |
| 92015 |
Determination of refractive state |
8,282 |
6,077 |
$136K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,608 |
1,227 |
$127K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,672 |
4,658 |
$79K |
| V2020 |
Frames, purchases |
2,478 |
1,794 |
$56K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
758 |
529 |
$30K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,418 |
919 |
$24K |
| 92250 |
|
118 |
100 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
14 |
$793.76 |
| 92083 |
|
28 |
24 |
$536.94 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
34 |
19 |
$467.76 |
| 92133 |
|
13 |
13 |
$213.92 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
30 |
28 |
$66.44 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
76 |
71 |
$23.96 |
| 1036F |
|
45 |
41 |
$10.65 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
13 |
12 |
$0.00 |
| 3072F |
|
221 |
216 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
95 |
88 |
$0.00 |
| 4004F |
|
31 |
26 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
14 |
13 |
$0.00 |