| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,432 |
4,758 |
$370K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,076 |
1,830 |
$184K |
| V2020 |
Frames, purchases |
5,486 |
4,641 |
$175K |
| 92015 |
Determination of refractive state |
9,111 |
7,360 |
$109K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,407 |
1,225 |
$62K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
527 |
429 |
$15K |
| 92250 |
|
560 |
503 |
$15K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
168 |
149 |
$9K |
| 92134 |
|
101 |
71 |
$1K |
| 92083 |
|
15 |
15 |
$471.64 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
12 |
12 |
$382.47 |
| 1036F |
|
133 |
117 |
$0.00 |
| G9716 |
Bmi is documented as being outside of normal parameters, follow-up plan is not completed for documented medical reason |
14 |
12 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
167 |
146 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
243 |
211 |
$0.00 |
| G8938 |
Bmi is documented as being outside of normal parameters, follow-up plan is not documented, documentation the patient is not eligible |
12 |
12 |
$0.00 |