| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,459 |
4,423 |
$163K |
| 92250 |
|
4,597 |
4,547 |
$69K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
815 |
807 |
$49K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,911 |
1,797 |
$46K |
| 92083 |
|
1,823 |
1,809 |
$34K |
| 92134 |
|
1,613 |
1,590 |
$18K |
| 92133 |
|
1,641 |
1,629 |
$17K |
| 92286 |
|
304 |
299 |
$4K |
| 92136 |
|
262 |
254 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
40 |
39 |
$2K |
| 92015 |
Determination of refractive state |
398 |
397 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
20 |
20 |
$433.20 |
| 92025 |
|
42 |
41 |
$334.27 |
| 76514 |
|
12 |
12 |
$42.49 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
55 |
54 |
$0.00 |
| S9986 |
Not medically necessary service (patient is aware that service not medically necessary) |
50 |
50 |
$0.00 |