| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,584 |
6,452 |
$605K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,733 |
2,677 |
$308K |
| V2020 |
Frames, purchases |
6,084 |
5,642 |
$108K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
6,936 |
3,714 |
$74K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,593 |
1,455 |
$68K |
| 92015 |
Determination of refractive state |
9,624 |
9,432 |
$63K |
| 92250 |
|
981 |
971 |
$40K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
2,391 |
1,414 |
$27K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
6,282 |
2,913 |
$16K |
| 92310 |
|
252 |
247 |
$7K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
186 |
125 |
$2K |
| 92133 |
|
53 |
53 |
$1K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
27 |
16 |
$324.86 |
| V2105 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 4.25 to 6.00d cylinder, per lens |
32 |
13 |
$267.68 |
| V2750 |
Anti-reflective coating, per lens |
12 |
12 |
$63.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
6,457 |
6,255 |
$0.00 |
| 1036F |
|
6,694 |
6,465 |
$0.00 |
| G8950 |
Elevated or hypertensive blood pressure reading documented, and the indicated follow-up is documented |
200 |
195 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
5,814 |
5,606 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
163 |
156 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
1,062 |
1,039 |
$0.00 |
| 2026F |
|
161 |
159 |
$0.00 |