| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,013 |
2,646 |
$164K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,927 |
1,746 |
$151K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
604 |
371 |
$103K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,714 |
1,979 |
$87K |
| 92015 |
Determination of refractive state |
7,957 |
6,294 |
$82K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,039 |
813 |
$57K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
434 |
351 |
$34K |
| 92136 |
|
684 |
504 |
$13K |
| V2020 |
Frames, purchases |
189 |
189 |
$7K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
413 |
330 |
$5K |
| 92134 |
|
389 |
278 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
12 |
12 |
$672.72 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
12 |
$523.09 |
| 92133 |
|
50 |
38 |
$484.26 |
| 92083 |
|
16 |
12 |
$322.07 |
| 1036F |
|
145 |
128 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
719 |
643 |
$0.00 |
| 4040F |
|
355 |
324 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
37 |
25 |
$0.00 |