| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
204,109 |
202,056 |
$5.83M |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
102,826 |
102,247 |
$4.92M |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
94,618 |
94,134 |
$4.74M |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
195,742 |
192,614 |
$3.79M |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
88,517 |
80,280 |
$1.03M |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
115,198 |
79,360 |
$844K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,109 |
8,980 |
$561K |
| 92341 |
|
26,081 |
25,515 |
$552K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,034 |
9,875 |
$540K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,261 |
8,424 |
$418K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
17,758 |
16,307 |
$288K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
29,623 |
20,209 |
$288K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
57,518 |
56,785 |
$223K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
7,352 |
6,669 |
$220K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
15,005 |
11,614 |
$163K |
| 92015 |
Determination of refractive state |
18,761 |
18,516 |
$161K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
12,998 |
9,829 |
$137K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,764 |
1,752 |
$109K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
2,564 |
2,549 |
$104K |
| 92083 |
|
2,005 |
1,975 |
$70K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
838 |
801 |
$52K |
| 92133 |
|
1,957 |
1,944 |
$39K |
| V2108 |
Spherocylinder, single vision, plus or minus 4.25d to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
2,802 |
2,301 |
$30K |
| 92134 |
|
1,429 |
1,408 |
$27K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
1,442 |
1,432 |
$26K |
| V2101 |
Sphere, single vision, plus or minus 4.12 to plus or minus 7.00d, per lens |
2,939 |
2,472 |
$25K |
| V2204 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
1,999 |
1,668 |
$24K |
| V2111 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, .25 to 2.25d cylinder, per lens |
2,023 |
1,579 |
$22K |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
1,967 |
1,602 |
$22K |
| V2207 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere,.12 to 2.00d cylinder, per lens |
1,538 |
1,191 |
$20K |
| 92250 |
|
473 |
467 |
$13K |
| V2744 |
Tint, photochromatic, per lens |
5,240 |
5,142 |
$5K |
| 92310 |
|
211 |
210 |
$4K |
| V2781 |
Progressive lens, per lens |
5,368 |
5,248 |
$3K |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
72 |
71 |
$2K |
| V2112 |
Spherocylinder, single vision, plus or minus 7.25 to plus or minus 12.00d sphere, 2.25d to 4.00d cylinder, per lens |
96 |
79 |
$1K |
| 92342 |
|
85 |
84 |
$970.43 |
| 76514 |
|
125 |
124 |
$952.54 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$617.43 |
| 92071 |
|
13 |
12 |
$275.40 |
| V2208 |
Spherocylinder, bifocal, plus or minus 4.25 to plus or minus 7.00d sphere, 2.12 to 4.00d cylinder, per lens |
15 |
12 |
$201.76 |
| V2745 |
Addition to lens; tint, any color, solid, gradient or equal, excludes photochromatic, any lens material, per lens |
414 |
403 |
$185.84 |
| V2750 |
Anti-reflective coating, per lens |
18,171 |
17,910 |
$149.15 |
| V2109 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00d sphere, 4.25 to 6.00d cylinder, per lens |
13 |
12 |
$138.71 |
| V2755 |
U-v lens, per lens |
1,032 |
1,015 |
$49.00 |
| V2499 |
Variable sphericity lens, other type |
39 |
39 |
$42.72 |
| G8785 |
Blood pressure reading not documented, reason not given |
1,129 |
1,051 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
568 |
500 |
$0.00 |
| 2022F |
|
280 |
279 |
$0.00 |
| M1210 |
At least two orders for high-risk medications from the same drug class, (table 4), not ordered |
60 |
60 |
$0.00 |
| G9368 |
At least two orders for high-risk medications from the same drug class not ordered |
261 |
255 |
$0.00 |
| G2102 |
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed |
28 |
28 |
$0.00 |
| 2023F |
|
411 |
408 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
663 |
645 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
2,245 |
2,139 |
$0.00 |
| V2783 |
Lens, index greater than or equal to 1.66 plastic or greater than or equal to 1.80 glass, excludes polycarbonate, per lens |
837 |
830 |
$0.00 |
| G8756 |
No documentation of blood pressure measurement, reason not given |
14 |
14 |
$0.00 |
| M1208 |
Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
90 |
87 |
$0.00 |
| G9366 |
One high-risk medication not ordered |
31 |
30 |
$0.00 |