| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,069 |
1,975 |
$239K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,534 |
2,474 |
$232K |
| 92015 |
Determination of refractive state |
7,921 |
7,377 |
$119K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
527 |
522 |
$39K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
644 |
589 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
789 |
764 |
$22K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
77 |
77 |
$7K |
| 92250 |
|
189 |
184 |
$5K |
| 92083 |
|
14 |
13 |
$476.84 |
| 4040F |
|
119 |
111 |
$0.00 |
| 99072 |
|
124 |
116 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
61 |
54 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
41 |
34 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
18 |
17 |
$0.00 |
| 1036F |
|
179 |
162 |
$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 |
27 |
26 |
$0.00 |