| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
101 |
98 |
$9K |
| 92015 |
Determination of refractive state |
216 |
212 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
175 |
147 |
$1K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
17 |
14 |
$892.38 |
| 67028 |
Intravitreal injection of a pharmacologic agent |
321 |
220 |
$866.28 |
| 92136 |
|
25 |
16 |
$353.30 |
| 92134 |
|
503 |
363 |
$219.15 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
12 |
$73.22 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
44 |
36 |
$0.00 |
| 1036F |
|
21 |
12 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
21 |
12 |
$0.00 |