| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,271 |
2,233 |
$152K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
882 |
868 |
$64K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,588 |
717 |
$30K |
| V2020 |
Frames, purchases |
1,978 |
1,807 |
$21K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
86 |
83 |
$5K |
| 92015 |
Determination of refractive state |
1,953 |
1,884 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
34 |
33 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,852 |
1,760 |
$2K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
28 |
13 |
$643.26 |
| 83861 |
|
20 |
13 |
$26.98 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,979 |
3,821 |
$7.00 |
| G9905 |
Patient not screened for tobacco use |
130 |
116 |
$0.00 |
| 1036F |
|
293 |
287 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
15 |
15 |
$0.00 |