| Code | Description | Claims | Beneficiaries | Total Paid |
| 92250 |
|
6,252 |
6,239 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,917 |
3,913 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,090 |
7,032 |
$10K |
| 92015 |
Determination of refractive state |
12,483 |
12,325 |
$10K |
| V2020 |
Frames, purchases |
7,010 |
7,006 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,048 |
3,936 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,098 |
3,043 |
$8K |
| 92341 |
|
1,470 |
1,467 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,614 |
5,598 |
$5K |
| 92133 |
|
3,173 |
3,160 |
$4K |
| 92083 |
|
3,064 |
3,035 |
$3K |
| 92020 |
|
3,605 |
3,596 |
$2K |
| 65855 |
|
110 |
88 |
$931.01 |
| 92134 |
|
514 |
480 |
$413.39 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
696 |
643 |
$345.69 |
| 76514 |
|
572 |
572 |
$268.94 |
| 92025 |
|
445 |
443 |
$189.13 |
| 95930 |
|
19 |
19 |
$86.87 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
363 |
346 |
$79.82 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
40 |
40 |
$62.01 |
| 1036F |
|
36 |
34 |
$0.00 |
| 3044F |
|
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
193 |
188 |
$0.00 |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
68 |
64 |
$0.00 |