| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
916 |
645 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
641 |
397 |
$5K |
| 92015 |
Determination of refractive state |
1,759 |
1,245 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
670 |
466 |
$4K |
| 99310 |
Prolong nursin fac eval 15m |
90 |
68 |
$372.32 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
68 |
48 |
$149.17 |
| 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 |
160 |
84 |
$0.00 |
| 2022F |
|
78 |
44 |
$0.00 |
| 4177F |
|
168 |
91 |
$0.00 |