| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,783 |
8,844 |
$585K |
| 92015 |
Determination of refractive state |
22,190 |
18,909 |
$370K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,308 |
5,596 |
$264K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
3,071 |
2,778 |
$263K |
| 92060 |
|
9,514 |
8,490 |
$177K |
| V2020 |
Frames, purchases |
5,636 |
4,407 |
$153K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,410 |
4,204 |
$146K |
| 92250 |
|
4,799 |
4,376 |
$83K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,733 |
1,427 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
900 |
755 |
$51K |
| A6412 |
Eye patch, occlusive, each |
777 |
663 |
$28K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
2,077 |
1,533 |
$24K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
4,848 |
4,128 |
$21K |
| 92083 |
|
321 |
292 |
$9K |
| 92134 |
|
999 |
674 |
$9K |
| 76516 |
|
158 |
140 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
430 |
228 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
651 |
606 |
$4K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
99 |
52 |
$2K |
| 92133 |
|
175 |
124 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
33 |
25 |
$1K |
| V2025 |
Deluxe frame |
34 |
33 |
$988.35 |
| 99309 |
Subsequent nursing facility care, per day, low to moderate complexity |
88 |
44 |
$957.15 |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
78 |
13 |
$855.00 |
| J9035 |
Injection, bevacizumab, 10 mg |
25 |
12 |
$743.08 |
| 92285 |
|
82 |
77 |
$573.70 |
| V2104 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, 2.12 to 4.00d cylinder, per lens |
38 |
37 |
$420.00 |
| 92341 |
|
13 |
12 |
$406.60 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,328 |
839 |
$0.00 |
| 4040F |
|
2,153 |
1,449 |
$0.00 |
| G8483 |
Influenza immunization was not administered for reasons documented by clinician (e.g., patient allergy or other medical reasons, patient declined or other patient reasons, vaccine not available or other system reasons) |
22 |
20 |
$0.00 |
| G9991 |
Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 19th birthday and before the end of the measurement period |
93 |
63 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
126 |
90 |
$0.00 |
| 1036F |
|
678 |
457 |
$0.00 |