| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,504 |
4,440 |
$70K |
| 68761 |
|
1,084 |
1,039 |
$26K |
| 92250 |
|
2,618 |
2,613 |
$25K |
| 92286 |
|
2,207 |
2,197 |
$24K |
| 92133 |
|
6,832 |
6,789 |
$23K |
| 92083 |
|
3,690 |
3,669 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,521 |
1,513 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,001 |
886 |
$7K |
| 92020 |
|
2,557 |
2,496 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
264 |
262 |
$5K |
| 92132 |
|
2,226 |
2,166 |
$4K |
| 92202 |
|
1,607 |
1,595 |
$3K |
| 92225 |
|
508 |
483 |
$734.80 |
| 92275 |
|
166 |
154 |
$425.84 |
| 92226 |
|
180 |
170 |
$306.34 |
| 76514 |
|
257 |
256 |
$241.29 |
| 76512 |
|
16 |
16 |
$200.94 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$63.09 |
| 83861 |
|
990 |
493 |
$0.00 |