| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
390 |
361 |
$40K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
515 |
452 |
$40K |
| 92060 |
|
75 |
74 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
102 |
99 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
88 |
61 |
$3K |
| 92015 |
Determination of refractive state |
458 |
436 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$1K |
| 92250 |
|
418 |
334 |
$911.89 |
| 92225 |
|
100 |
54 |
$257.54 |
| 92226 |
|
77 |
43 |
$146.48 |
| 92083 |
|
14 |
12 |
$133.28 |
| 92134 |
|
14 |
14 |
$25.70 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
28 |
22 |
$0.00 |
| 2027F |
|
24 |
21 |
$0.00 |
| G8398 |
Dilated macular or fundus exam not performed |
17 |
14 |
$0.00 |