| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
923 |
886 |
$19K |
| 92015 |
|
1,542 |
1,519 |
$16K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
439 |
414 |
$15K |
| 92340 |
|
497 |
476 |
$8K |
| 92250 |
|
939 |
886 |
$7K |
| 99344 |
|
88 |
88 |
$6K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
146 |
140 |
$5K |
| 92341 |
|
212 |
203 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
464 |
440 |
$4K |
| 92014 |
|
53 |
52 |
$2K |
| 92273 |
|
65 |
65 |
$2K |
| 99309 |
|
75 |
74 |
$2K |
| 99349 |
|
92 |
92 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
63 |
60 |
$706.20 |
| 99336 |
|
34 |
34 |
$693.54 |
| 99204 |
|
29 |
28 |
$673.49 |
| 92004 |
|
16 |
16 |
$419.00 |
| 92083 |
|
14 |
14 |
$294.80 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
39 |
39 |
$239.79 |
| 92285 |
|
18 |
18 |
$120.02 |
| 99305 |
|
17 |
17 |
$58.80 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
162 |
162 |
$0.00 |
| M1210 |
At least two orders for high-risk medications from the same drug class, (table 4), not ordered |
52 |
52 |
$0.00 |
| G9368 |
At least two orders for high-risk medications from the same drug class not ordered |
69 |
68 |
$0.00 |
| G9905 |
Patient not screened for tobacco use |
13 |
13 |
$0.00 |
| 99326 |
|
12 |
12 |
$0.00 |