| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,433 |
3,079 |
$155K |
| 92083 |
|
3,600 |
3,373 |
$80K |
| 92133 |
|
3,910 |
3,706 |
$68K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
681 |
590 |
$64K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,857 |
1,574 |
$48K |
| 66982 |
|
71 |
56 |
$23K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
752 |
710 |
$14K |
| 92250 |
|
377 |
357 |
$11K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
281 |
276 |
$11K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
188 |
187 |
$7K |
| 92025 |
|
415 |
390 |
$6K |
| V2025 |
Deluxe frame |
99 |
94 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
251 |
245 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
291 |
264 |
$4K |
| 92020 |
|
288 |
274 |
$2K |
| 76512 |
|
59 |
38 |
$2K |
| 92134 |
|
152 |
147 |
$2K |
| 92136 |
|
69 |
36 |
$1K |
| 76514 |
|
323 |
306 |
$1K |
| V2303 |
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, .12-2.00d cylinder, per lens |
35 |
32 |
$891.00 |
| 92286 |
|
82 |
78 |
$712.17 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
12 |
12 |
$60.00 |
| 92015 |
Determination of refractive state |
124 |
98 |
$15.50 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
16 |
12 |
$0.00 |