| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,952 |
3,622 |
$222K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,733 |
1,581 |
$127K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,066 |
4,630 |
$76K |
| 92015 |
Determination of refractive state |
6,420 |
5,861 |
$47K |
| V2750 |
Anti-reflective coating, per lens |
481 |
455 |
$40K |
| V2499 |
Variable sphericity lens, other type |
1,367 |
1,255 |
$36K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
660 |
616 |
$18K |
| V2020 |
Frames, purchases |
1,567 |
1,439 |
$17K |
| V2755 |
U-v lens, per lens |
922 |
827 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
490 |
417 |
$14K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,459 |
1,335 |
$11K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
706 |
646 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
159 |
151 |
$2K |
| 92250 |
|
43 |
25 |
$748.84 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
12 |
$324.66 |
| G8732 |
No documentation of pain assessment, reason not given |
408 |
372 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
227 |
204 |
$0.00 |
| G9366 |
One high-risk medication not ordered |
15 |
14 |
$0.00 |
| V2760 |
Scratch resistant coating, per lens |
71 |
71 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
163 |
143 |
$0.00 |
| G9368 |
At least two orders for high-risk medications from the same drug class not ordered |
56 |
53 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
68 |
63 |
$0.00 |