| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| T1015 |
Clinic visit/encounter, all-inclusive |
28,528 |
22,790 |
$2.50M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,465 |
4,704 |
$117K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,880 |
5,234 |
$81K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
3,241 |
2,707 |
$30K |
| V2020 |
Frames, purchases |
5,308 |
4,878 |
$25K |
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
574 |
523 |
$25K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,663 |
4,251 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,813 |
1,581 |
$19K |
| 92015 |
Determination of refractive state |
11,691 |
10,331 |
$13K |
| 92250 |
|
438 |
343 |
$1K |
| 92341 |
|
41 |
39 |
$543.78 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
77 |
68 |
$506.25 |
| 92083 |
|
55 |
50 |
$139.51 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
86 |
86 |
$60.99 |
| 92133 |
|
13 |
12 |
$0.00 |
| 2022F |
|
12 |
12 |
$0.00 |