| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,148 |
3,869 |
$140K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,585 |
2,512 |
$103K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,312 |
1,234 |
$100K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,688 |
1,677 |
$64K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
273 |
258 |
$26K |
| 3072F |
|
2,420 |
2,375 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,609 |
1,429 |
$23K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,021 |
999 |
$22K |
| V2020 |
Frames, purchases |
1,101 |
1,082 |
$19K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
715 |
626 |
$13K |
| 92250 |
|
755 |
747 |
$9K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
183 |
149 |
$5K |
| 99490 |
Ccm add 20min |
103 |
103 |
$984.10 |
| 92228 |
|
24 |
24 |
$363.80 |
| 92020 |
|
46 |
46 |
$16.56 |
| 1036F |
|
395 |
384 |
$0.00 |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
150 |
149 |
$0.00 |
| 5010F |
|
151 |
150 |
$0.00 |
| 99072 |
|
155 |
148 |
$0.00 |