| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
17,298 |
15,194 |
$504K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,896 |
5,330 |
$344K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
8,766 |
7,992 |
$299K |
| 99310 |
Prolong nursin fac eval 15m |
24,953 |
21,297 |
$276K |
| 92015 |
Determination of refractive state |
31,992 |
28,159 |
$152K |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
17,021 |
14,336 |
$152K |
| 99308 |
Subsequent nursing facility care, per day, straightforward |
20,451 |
17,388 |
$121K |
| V2203 |
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
1,391 |
986 |
$47K |
| V2020 |
Frames, purchases |
1,654 |
1,214 |
$40K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
572 |
571 |
$8K |
| 2022F |
|
10,737 |
8,743 |
$5K |
| 92250 |
|
484 |
411 |
$5K |
| 3284F |
|
12,238 |
10,043 |
$2K |
| 4177F |
|
9,667 |
7,779 |
$2K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
57 |
57 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
329 |
297 |
$1K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
20 |
19 |
$455.60 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$90.28 |
| 99307 |
|
15 |
14 |
$54.78 |
| 92002 |
|
13 |
13 |
$33.62 |
| G9975 |
Documentation of medical reason(s) for not performing a dilated macular examination |
5,713 |
4,644 |
$0.00 |
| G9893 |
Dilated macular exam was not performed, reason not otherwise specified |
45 |
41 |
$0.00 |
| G8398 |
Dilated macular or fundus exam not performed |
99 |
73 |
$0.00 |
| 3072F |
|
125 |
104 |
$0.00 |
| 3285F |
|
17 |
14 |
$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 |
8,685 |
7,083 |
$0.00 |
| 2027F |
|
6,879 |
5,577 |
$0.00 |
| 0517F |
|
253 |
200 |
$0.00 |
| 2026F |
|
73 |
60 |
$0.00 |