| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,849 |
1,648 |
$166K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,200 |
1,889 |
$133K |
| 92015 |
Determination of refractive state |
4,815 |
4,227 |
$47K |
| 92250 |
|
45 |
29 |
$377.27 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
16 |
14 |
$285.81 |
| G8732 |
No documentation of pain assessment, reason not given |
64 |
55 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
64 |
55 |
$0.00 |