| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
6,225 |
5,753 |
$500K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
4,311 |
3,860 |
$417K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,897 |
10,425 |
$211K |
| 92370 |
|
12,893 |
12,302 |
$80K |
| 92082 |
|
2,451 |
1,819 |
$52K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
879 |
659 |
$50K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,062 |
765 |
$44K |
| 92015 |
Determination of refractive state |
2,532 |
1,951 |
$35K |
| 92134 |
|
1,547 |
1,333 |
$31K |
| 92341 |
|
1,256 |
1,189 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
283 |
251 |
$25K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
303 |
269 |
$16K |
| 92250 |
|
341 |
296 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
25 |
$973.82 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
76 |
75 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
227 |
205 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
40 |
39 |
$0.00 |
| 1036F |
|
83 |
63 |
$0.00 |