| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,175 |
1,954 |
$163K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,262 |
1,168 |
$117K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,241 |
4,119 |
$85K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,056 |
1,444 |
$74K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
925 |
715 |
$55K |
| 92250 |
|
2,243 |
1,537 |
$42K |
| 92370 |
|
5,629 |
5,447 |
$35K |
| 92341 |
|
1,219 |
1,189 |
$29K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
996 |
723 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
26 |
$1K |
| 92133 |
|
43 |
32 |
$700.29 |
| 92083 |
|
30 |
25 |
$346.23 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
94 |
86 |
$278.97 |
| 3072F |
|
793 |
446 |
$209.04 |
| 83861 |
|
50 |
24 |
$0.00 |
| G8732 |
No documentation of pain assessment, reason not given |
47 |
39 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
47 |
39 |
$0.00 |