| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,886 |
5,483 |
$462K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,838 |
2,610 |
$266K |
| V2020 |
Frames, purchases |
6,615 |
6,044 |
$187K |
| 92015 |
Determination of refractive state |
8,871 |
8,198 |
$174K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,152 |
5,675 |
$128K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,363 |
3,071 |
$92K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
3,700 |
3,332 |
$18K |
| 92250 |
|
235 |
224 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
117 |
103 |
$5K |
| 92341 |
|
187 |
157 |
$4K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
95 |
68 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
45 |
41 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
19 |
19 |
$1K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
30 |
29 |
$1K |
| 1036F |
|
5,956 |
4,856 |
$137.74 |
| 2026F |
|
32 |
25 |
$0.04 |
| G9905 |
Patient not screened for tobacco use |
2,442 |
1,836 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,074 |
822 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
637 |
535 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
243 |
162 |
$0.00 |
| 2022F |
|
117 |
115 |
$0.00 |
| 5010F |
|
45 |
38 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
916 |
840 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
2,854 |
2,398 |
$0.00 |
| 3072F |
|
38 |
38 |
$0.00 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
87 |
80 |
$0.00 |