| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,771 |
2,553 |
$107K |
| V2025 |
Deluxe frame |
910 |
903 |
$39K |
| 92015 |
Determination of refractive state |
2,108 |
1,964 |
$25K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,184 |
1,017 |
$23K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
521 |
519 |
$23K |
| V2020 |
Frames, purchases |
866 |
847 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
511 |
429 |
$10K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
640 |
633 |
$8K |
| 95930 |
|
246 |
246 |
$7K |
| 92083 |
|
193 |
190 |
$6K |
| 92275 |
|
60 |
60 |
$3K |
| 92133 |
|
103 |
103 |
$2K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
31 |
31 |
$1K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
173 |
172 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
57 |
53 |
$989.08 |
| 92273 |
|
29 |
28 |
$952.03 |
| 92250 |
|
16 |
16 |
$288.69 |
| 0509T |
|
12 |
12 |
$11.52 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
630 |
588 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
592 |
554 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
42 |
40 |
$0.00 |
| 2027F |
|
27 |
25 |
$0.00 |
| G8420 |
Bmi is documented within normal parameters and no follow-up plan is required |
39 |
39 |
$0.00 |
| 1036F |
|
404 |
385 |
$0.00 |
| 3284F |
|
27 |
25 |
$0.00 |