| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,356 |
1,335 |
$112K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
377 |
365 |
$25K |
| 92015 |
Determination of refractive state |
2,125 |
2,076 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
219 |
202 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
407 |
379 |
$5K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
25 |
25 |
$394.64 |
| 92134 |
|
12 |
12 |
$208.74 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
28 |
27 |
$141.39 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$32.45 |
| 1036F |
|
12 |
12 |
$0.00 |
| 3078F |
|
26 |
25 |
$0.00 |