| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,941 |
1,368 |
$52K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,627 |
1,743 |
$48K |
| 92083 |
|
425 |
272 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
63 |
57 |
$3K |
| 92134 |
|
126 |
107 |
$660.21 |
| 76519 |
|
201 |
106 |
$648.85 |
| 92250 |
|
22 |
15 |
$193.44 |
| 92133 |
|
39 |
16 |
$146.11 |
| 92020 |
|
29 |
26 |
$92.90 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
180 |
174 |
$0.00 |
| 4177F |
|
246 |
238 |
$0.00 |
| 3285F |
|
230 |
224 |
$0.00 |
| G9893 |
Dilated macular exam was not performed, reason not otherwise specified |
29 |
29 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
320 |
229 |
$0.00 |
| 2022F |
|
243 |
231 |
$0.00 |
| 0517F |
|
231 |
224 |
$0.00 |
| 2027F |
|
250 |
241 |
$0.00 |
| 4040F |
|
206 |
127 |
$0.00 |
| 5010F |
|
187 |
181 |
$0.00 |
| G9974 |
Dilated macular exam performed, including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity |
111 |
108 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
58 |
39 |
$0.00 |