| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92015 |
Determination of refractive state |
5,006 |
3,575 |
$27K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,104 |
847 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
449 |
333 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
200 |
128 |
$4K |
| 92134 |
|
305 |
223 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
47 |
40 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
87 |
63 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
125 |
66 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
15 |
13 |
$602.95 |
| 92136 |
|
37 |
14 |
$213.17 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
14 |
$173.68 |
| 92133 |
|
34 |
25 |
$167.77 |
| 4040F |
|
84 |
79 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
185 |
175 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
87 |
80 |
$0.00 |
| 1036F |
|
110 |
103 |
$0.00 |