| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,078 |
1,889 |
$80K |
| 92250 |
|
2,558 |
2,318 |
$58K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,635 |
1,461 |
$47K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
790 |
717 |
$46K |
| 92083 |
|
1,214 |
1,107 |
$31K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
510 |
476 |
$13K |
| 95930 |
|
342 |
333 |
$10K |
| 92133 |
|
596 |
569 |
$10K |
| 92134 |
|
656 |
526 |
$8K |
| 92275 |
|
125 |
121 |
$6K |
| V2020 |
Frames, purchases |
524 |
483 |
$5K |
| 92002 |
|
111 |
94 |
$4K |
| 92136 |
|
464 |
336 |
$4K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
98 |
66 |
$4K |
| J9035 |
Injection, bevacizumab, 10 mg |
93 |
65 |
$3K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
85 |
83 |
$1K |
| 76514 |
|
154 |
140 |
$706.90 |
| 92285 |
|
51 |
43 |
$595.79 |
| 92025 |
|
44 |
39 |
$569.31 |
| 92015 |
Determination of refractive state |
15 |
12 |
$379.72 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
13 |
13 |
$226.26 |
| 2024F |
|
564 |
508 |
$10.00 |
| 2022F |
|
582 |
527 |
$10.00 |
| 2026F |
|
563 |
507 |
$10.00 |
| 3072F |
|
452 |
411 |
$10.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
285 |
237 |
$0.03 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
900 |
777 |
$0.03 |
| 0517F |
|
292 |
264 |
$0.00 |
| 2027F |
|
256 |
231 |
$0.00 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
904 |
787 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,722 |
1,506 |
$0.00 |
| 3284F |
|
141 |
126 |
$0.00 |
| 1036F |
|
1,559 |
1,357 |
$0.00 |
| 3285F |
|
141 |
126 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
355 |
322 |
$0.00 |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
12 |
12 |
$0.00 |