| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,347 |
2,183 |
$144K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,028 |
973 |
$42K |
| 92015 |
Determination of refractive state |
1,940 |
1,736 |
$36K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,988 |
1,792 |
$32K |
| V2020 |
Frames, purchases |
780 |
706 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
436 |
388 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
101 |
98 |
$10K |
| 92083 |
|
932 |
530 |
$6K |
| 92250 |
|
906 |
509 |
$4K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
26 |
26 |
$651.20 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
20 |
16 |
$617.83 |
| 92020 |
|
80 |
80 |
$315.31 |
| 92226 |
|
91 |
51 |
$236.18 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
18 |
17 |
$21.63 |
| 1036F |
|
3,115 |
2,745 |
$14.28 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
235 |
185 |
$7.00 |
| 2022F |
|
142 |
136 |
$0.07 |
| 3072F |
|
41 |
37 |
$0.01 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
3,566 |
3,174 |
$0.00 |
| 3284F |
|
751 |
707 |
$0.00 |
| 4177F |
|
59 |
57 |
$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 |
171 |
164 |
$0.00 |
| 5010F |
|
171 |
164 |
$0.00 |
| 2027F |
|
621 |
579 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,224 |
2,819 |
$0.00 |
| G9974 |
Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity |
128 |
124 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
331 |
312 |
$0.00 |
| G2102 |
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed |
13 |
13 |
$0.00 |