| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,257 |
3,242 |
$382K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,492 |
2,438 |
$268K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,937 |
2,849 |
$262K |
| 92015 |
Determination of refractive state |
7,460 |
7,140 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
599 |
511 |
$29K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
208 |
199 |
$20K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
65 |
58 |
$4K |
| 92250 |
|
219 |
187 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
52 |
52 |
$2K |
| 92134 |
|
16 |
13 |
$172.42 |
| 1036F |
|
41 |
37 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
41 |
37 |
$0.00 |
| G8422 |
Bmi not documented, documentation the patient is not eligible for bmi calculation |
13 |
13 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
41 |
36 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
14 |
14 |
$0.00 |
| 4040F |
|
20 |
12 |
$0.00 |
| G8730 |
Pain assessment documented as positive using a standardized tool and a follow-up plan is documented |
13 |
13 |
$0.00 |