| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,844 |
5,347 |
$432K |
| 92015 |
Determination of refractive state |
16,097 |
14,507 |
$388K |
| 92002 |
|
6,621 |
5,947 |
$385K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,039 |
3,630 |
$322K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,552 |
3,146 |
$174K |
| V2020 |
Frames, purchases |
5,613 |
5,296 |
$130K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,263 |
5,599 |
$115K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
3,858 |
3,461 |
$104K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
433 |
244 |
$10K |
| 92250 |
|
331 |
274 |
$8K |
| 92341 |
|
432 |
390 |
$6K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
219 |
115 |
$2K |
| 92020 |
|
105 |
91 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
78 |
52 |
$2K |
| 92083 |
|
51 |
45 |
$2K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
255 |
237 |
$2K |
| 76514 |
|
82 |
70 |
$687.16 |
| 92133 |
|
21 |
19 |
$488.96 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
352 |
306 |
$324.15 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
83 |
83 |
$94.83 |
| 3072F |
|
4,987 |
4,712 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
49 |
38 |
$0.00 |
| 1036F |
|
87 |
64 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
16 |
16 |
$0.00 |
| 2022F |
|
35 |
35 |
$0.00 |