| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,571 |
2,569 |
$107K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,011 |
2,010 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
763 |
750 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
749 |
748 |
$14K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
818 |
755 |
$12K |
| 92250 |
|
554 |
551 |
$9K |
| 92083 |
|
311 |
310 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
66 |
65 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
97 |
97 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
80 |
40 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
109 |
109 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
39 |
$1K |
| 92015 |
Determination of refractive state |
2,343 |
2,342 |
$1K |
| V2020 |
Frames, purchases |
81 |
81 |
$931.50 |
| 92341 |
|
46 |
46 |
$915.00 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
24 |
12 |
$492.96 |
| 92134 |
|
42 |
42 |
$322.67 |
| 1036F |
|
3,509 |
3,398 |
$0.00 |
| 3285F |
|
311 |
300 |
$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 |
82 |
82 |
$0.00 |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
32 |
16 |
$0.00 |
| 2027F |
|
444 |
416 |
$0.00 |
| 4004F |
|
16 |
15 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
3,856 |
3,721 |
$0.00 |
| 0517F |
|
312 |
297 |
$0.00 |
| 5010F |
|
71 |
71 |
$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) |
24 |
23 |
$0.00 |