| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,849 |
6,485 |
$508K |
| V2020 |
Frames, purchases |
6,030 |
5,858 |
$397K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,060 |
3,833 |
$351K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,776 |
1,176 |
$306K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,067 |
1,794 |
$141K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
3,834 |
3,430 |
$139K |
| 92015 |
Determination of refractive state |
7,540 |
7,332 |
$123K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,374 |
1,201 |
$115K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,000 |
1,687 |
$105K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
2,301 |
2,232 |
$58K |
| 92250 |
|
2,186 |
1,954 |
$41K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
715 |
706 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
554 |
508 |
$37K |
| 92136 |
|
1,465 |
650 |
$24K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
2,337 |
2,115 |
$18K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
696 |
653 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
440 |
354 |
$14K |
| 92083 |
|
244 |
217 |
$8K |
| 92133 |
|
329 |
304 |
$7K |
| 1036F |
|
723 |
668 |
$6K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
186 |
184 |
$6K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
436 |
410 |
$2K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
42 |
40 |
$1K |
| G8785 |
Blood pressure reading not documented, reason not given |
744 |
680 |
$1K |
| 92134 |
|
40 |
36 |
$839.04 |
| 2023F |
|
65 |
54 |
$0.01 |
| 2022F |
|
14 |
14 |
$0.00 |
| M1221 |
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist or artificial intelligence (ai) interpretation documented and reviewed; without evidence of retinopathy |
27 |
25 |
$0.00 |
| 2025F |
|
12 |
12 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
18 |
13 |
$0.00 |
| 2024F |
|
16 |
16 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
59 |
52 |
$0.00 |
| M1208 |
Patient is not screened for food insecurity, housing instability, transportation needs, utility difficulties, and interpersonal safety |
26 |
24 |
$0.00 |