| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,990 |
1,932 |
$118K |
| V2020 |
Frames, purchases |
3,175 |
3,099 |
$105K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
1,771 |
1,643 |
$53K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
633 |
623 |
$48K |
| 92015 |
Determination of refractive state |
3,245 |
3,126 |
$18K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
464 |
440 |
$11K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
398 |
394 |
$7K |
| 92250 |
|
129 |
117 |
$2K |
| V2781 |
Progressive lens, per lens |
102 |
96 |
$1K |
| V2300 |
Sphere, trifocal, plano to plus or minus 4.00d, per lens |
13 |
13 |
$428.58 |
| 3072F |
|
24 |
24 |
$230.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
323 |
312 |
$0.00 |
| G8417 |
Bmi is documented above normal parameters and a follow-up plan is documented |
82 |
81 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
39 |
39 |
$0.00 |
| G8752 |
Most recent systolic blood pressure < 140 mmhg |
37 |
37 |
$0.00 |
| G8754 |
Most recent diastolic blood pressure < 90 mmhg |
37 |
37 |
$0.00 |
| 1036F |
|
62 |
62 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
49 |
49 |
$0.00 |