| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,347 |
2,224 |
$131K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,563 |
1,510 |
$117K |
| 68761 |
|
1,122 |
494 |
$57K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,449 |
1,191 |
$55K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,244 |
1,088 |
$54K |
| 92250 |
|
2,730 |
2,605 |
$49K |
| 92015 |
Determination of refractive state |
4,569 |
3,192 |
$47K |
| 92025 |
|
1,127 |
1,097 |
$20K |
| 92083 |
|
392 |
383 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
138 |
135 |
$10K |
| 83861 |
|
548 |
344 |
$8K |
| 92285 |
|
456 |
448 |
$5K |
| 92136 |
|
223 |
205 |
$5K |
| 92134 |
|
155 |
149 |
$3K |
| 92273 |
|
24 |
24 |
$2K |
| 92275 |
|
18 |
13 |
$813.28 |
| 92133 |
|
41 |
41 |
$809.44 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$685.01 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
31 |
31 |
$560.13 |
| V2020 |
Frames, purchases |
17 |
17 |
$389.18 |
| 92235 |
|
16 |
12 |
$347.93 |
| 76514 |
|
15 |
14 |
$76.98 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
15 |
15 |
$72.18 |
| G8421 |
Bmi not documented and no reason is given |
123 |
116 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
98 |
92 |
$0.00 |
| A4263 |
Permanent, long term, non-dissolvable lacrimal duct implant, each |
27 |
25 |
$0.00 |