| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,672 |
4,588 |
$146K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,468 |
2,357 |
$48K |
| 92015 |
Determination of refractive state |
1,762 |
1,633 |
$19K |
| 92250 |
|
679 |
655 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
120 |
118 |
$12K |
| 68760 |
|
219 |
63 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
47 |
43 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
41 |
40 |
$3K |
| 92134 |
|
75 |
74 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
13 |
$936.34 |
| 92136 |
|
33 |
26 |
$690.52 |
| 92133 |
|
12 |
12 |
$59.70 |
| G9515 |
Patient did not require a return to the operating room within 90 days of surgery |
100 |
86 |
$0.00 |
| 3284F |
|
73 |
71 |
$0.00 |
| G9519 |
Patient achieves final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery |
113 |
99 |
$0.00 |
| 3285F |
|
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
1,271 |
1,000 |
$0.00 |
| 2027F |
|
34 |
34 |
$0.00 |
| 4175F |
|
98 |
84 |
$0.00 |
| 0517F |
|
103 |
96 |
$0.00 |
| S9999 |
Sales tax |
22 |
13 |
$0.00 |