| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,766 |
6,662 |
$604K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,228 |
4,228 |
$534K |
| 92250 |
|
3,828 |
3,827 |
$178K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
950 |
950 |
$166K |
| 92134 |
|
4,134 |
4,133 |
$166K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,062 |
1,062 |
$161K |
| 92201 |
|
4,229 |
4,226 |
$102K |
| 92083 |
|
1,366 |
1,362 |
$89K |
| 92226 |
|
2,573 |
1,587 |
$78K |
| 92225 |
|
1,448 |
905 |
$49K |
| 92133 |
|
1,318 |
1,316 |
$48K |
| 92020 |
|
1,526 |
1,525 |
$42K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,266 |
631 |
$21K |
| 66761 |
|
48 |
42 |
$15K |
| 92002 |
|
140 |
140 |
$12K |
| V2020 |
Frames, purchases |
781 |
777 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
42 |
42 |
$5K |
| 99072 |
|
963 |
903 |
$819.00 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
26 |
13 |
$246.48 |
| 1036F |
|
5,589 |
5,386 |
$88.03 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
10,788 |
10,404 |
$88.03 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
554 |
275 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
8,977 |
8,666 |
$0.00 |
| 2019F |
|
91 |
91 |
$0.00 |
| 4177F |
|
798 |
792 |
$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) |
26 |
25 |
$0.00 |
| 3072F |
|
50 |
50 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
26 |
25 |
$0.00 |
| 0517F |
|
1,365 |
1,324 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
2,966 |
2,879 |
$0.00 |
| G9974 |
Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity |
1,101 |
1,100 |
$0.00 |
| 2027F |
|
436 |
421 |
$0.00 |
| 2024F |
|
52 |
52 |
$0.00 |
| 2022F |
|
39 |
39 |
$0.00 |
| 2026F |
|
52 |
52 |
$0.00 |