| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| S0621 |
Routine ophthalmological examination including refraction; established patient |
6,982 |
6,656 |
$597K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
1,895 |
1,800 |
$267K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
1,524 |
1,465 |
$155K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
8,010 |
7,687 |
$155K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,367 |
2,270 |
$128K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,104 |
1,613 |
$94K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,486 |
1,695 |
$70K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
2,298 |
1,140 |
$68K |
| 92370 |
|
8,159 |
7,838 |
$57K |
| 92134 |
|
3,826 |
2,006 |
$18K |
| 92015 |
Determination of refractive state |
1,191 |
1,125 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
113 |
107 |
$4K |
| J9035 |
Injection, bevacizumab, 10 mg |
355 |
171 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
66 |
40 |
$2K |
| 99242 |
|
12 |
12 |
$744.47 |
| G9744 |
Patient not eligible due to active diagnosis of hypertension |
122 |
115 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
219 |
200 |
$0.00 |
| 4040F |
|
25 |
25 |
$0.00 |
| 92201 |
|
28 |
16 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
175 |
165 |
$0.00 |
| 1036F |
|
125 |
116 |
$0.00 |