| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,796 |
6,562 |
$542K |
| V2020 |
Frames, purchases |
7,381 |
7,181 |
$467K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,887 |
3,738 |
$367K |
| S0580 |
Polycarbonate lens (list this code in addition to the basic code for the lens) |
7,675 |
6,192 |
$211K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
5,516 |
4,564 |
$182K |
| 92015 |
Determination of refractive state |
9,690 |
9,389 |
$159K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
1,520 |
1,335 |
$43K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
536 |
449 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
591 |
499 |
$31K |
| 92250 |
|
1,091 |
1,005 |
$30K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
484 |
448 |
$14K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
398 |
326 |
$9K |
| V2410 |
Variable asphericity lens, single vision, full field, glass or plastic, per lens |
41 |
39 |
$5K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,533 |
803 |
$5K |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,697 |
1,610 |
$3K |
| 1036F |
|
1,694 |
1,602 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
34 |
28 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 92133 |
|
50 |
46 |
$1K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
843 |
789 |
$821.65 |
| G8785 |
Blood pressure reading not documented, reason not given |
83 |
68 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
13 |
12 |
$0.00 |