| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
2,460 |
1,799 |
$593K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,956 |
2,696 |
$173K |
| 66821 |
|
1,171 |
788 |
$117K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,997 |
1,792 |
$94K |
| 92136 |
|
2,588 |
2,245 |
$59K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
361 |
345 |
$30K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
230 |
216 |
$19K |
| V2020 |
Frames, purchases |
413 |
383 |
$13K |
| 92015 |
Determination of refractive state |
600 |
563 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
28 |
28 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
135 |
116 |
$3K |
| 83861 |
|
55 |
27 |
$881.51 |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
17 |
12 |
$442.68 |
| 83516 |
|
60 |
29 |
$432.32 |
| 92133 |
|
12 |
12 |
$314.98 |
| 92250 |
|
12 |
12 |
$272.73 |
| 92202 |
|
16 |
12 |
$85.02 |
| 1036F |
|
61 |
56 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
222 |
185 |
$0.00 |
| G8731 |
Pain assessment using a standardized tool is documented as negative, no follow-up plan required |
199 |
169 |
$0.00 |