| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,591 |
5,275 |
$372K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,699 |
1,665 |
$176K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,377 |
2,320 |
$124K |
| 92015 |
Determination of refractive state |
8,944 |
8,418 |
$111K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,232 |
1,192 |
$89K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,286 |
1,273 |
$67K |
| 92250 |
|
2,646 |
2,586 |
$63K |
| 99215 |
Prolong outpt/office vis |
425 |
419 |
$33K |
| 92225 |
|
1,494 |
925 |
$13K |
| 92310 |
|
358 |
308 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
69 |
68 |
$3K |
| 92134 |
|
76 |
75 |
$562.07 |
| 92201 |
|
57 |
35 |
$49.34 |
| 2023F |
|
170 |
169 |
$0.00 |
| 3072F |
|
13 |
13 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
34 |
32 |
$0.00 |
| 2022F |
|
423 |
406 |
$0.00 |
| 5010F |
|
385 |
369 |
$0.00 |
| 92202 |
|
38 |
27 |
$0.00 |