| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
2,729 |
1,479 |
$257K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,236 |
1,953 |
$131K |
| 92083 |
|
1,760 |
784 |
$127K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,004 |
974 |
$127K |
| 68761 |
|
2,180 |
722 |
$63K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
791 |
728 |
$51K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
425 |
413 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
301 |
296 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
400 |
378 |
$33K |
| A4263 |
Permanent, long term, non-dissolvable lacrimal duct implant, each |
122 |
105 |
$4K |
| 92225 |
|
365 |
351 |
$3K |
| 92015 |
Determination of refractive state |
461 |
437 |
$765.70 |
| 92201 |
|
24 |
13 |
$358.96 |