| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,092 |
1,353 |
$112K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,435 |
3,852 |
$73K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
766 |
590 |
$58K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,049 |
827 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
509 |
402 |
$29K |
| 92370 |
|
5,982 |
4,515 |
$29K |
| 92015 |
Determination of refractive state |
1,806 |
1,422 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
385 |
296 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
356 |
248 |
$13K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
119 |
98 |
$7K |
| 92341 |
|
177 |
123 |
$3K |
| 92136 |
|
17 |
14 |
$282.48 |
| G8482 |
Influenza immunization administered or previously received |
17 |
17 |
$0.00 |
| 4040F |
|
17 |
17 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
27 |
27 |
$0.00 |
| G8484 |
Influenza immunization was not administered, reason not given |
16 |
16 |
$0.00 |
| 1036F |
|
43 |
43 |
$0.00 |