| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,079 |
3,946 |
$270K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,759 |
2,669 |
$246K |
| V2020 |
Frames, purchases |
6,868 |
6,388 |
$178K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,290 |
5,178 |
$158K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
4,849 |
4,543 |
$79K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
5,594 |
5,189 |
$44K |
| 92015 |
Determination of refractive state |
6,014 |
5,836 |
$13K |
| V2760 |
Scratch resistant coating, per lens |
4,650 |
4,521 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
251 |
192 |
$9K |
| 92370 |
|
326 |
308 |
$9K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
583 |
543 |
$8K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
398 |
343 |
$7K |
| 92341 |
|
191 |
190 |
$6K |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
203 |
188 |
$3K |
| S0516 |
Safety eyeglass frames |
56 |
55 |
$894.88 |
| S0504 |
Single vision prescription lens (safety, athletic, or sunglass), per lens |
63 |
62 |
$580.14 |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
38 |
38 |
$567.19 |
| V2499 |
Variable sphericity lens, other type |
16 |
15 |
$443.00 |
| S9999 |
Sales tax |
96 |
95 |
$162.48 |
| 4004F |
|
217 |
207 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,952 |
1,838 |
$0.00 |
| 99199 |
Unlisted special service, procedure or report |
125 |
122 |
$0.00 |
| G8783 |
Normal blood pressure reading documented, follow-up not required |
538 |
512 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
249 |
244 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
75 |
73 |
$0.00 |
| 2026F |
|
51 |
51 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
37 |
36 |
$0.00 |
| 2022F |
|
16 |
15 |
$0.00 |
| G2102 |
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed |
12 |
12 |
$0.00 |
| G2104 |
Eye imaging validated to match diagnosis from seven standard field stereoscopic photos results documented and reviewed |
35 |
34 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
2,857 |
2,720 |
$0.00 |
| G8952 |
Elevated or hypertensive blood pressure reading documented, indicated follow-up not documented, reason not given |
658 |
615 |
$0.00 |
| G9906 |
Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) |
372 |
359 |
$0.00 |
| 1036F |
|
3,635 |
3,447 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
437 |
421 |
$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 |
14 |
13 |
$0.00 |