| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 68761 |
|
10,890 |
6,816 |
$1.18M |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
7,286 |
7,279 |
$657K |
| 65778 |
|
587 |
585 |
$518K |
| 92250 |
|
13,008 |
13,005 |
$452K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,750 |
3,743 |
$247K |
| 92285 |
|
13,860 |
13,830 |
$204K |
| 92273 |
|
2,037 |
2,036 |
$175K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,115 |
1,114 |
$135K |
| 95930 |
|
2,014 |
2,014 |
$122K |
| 92015 |
Determination of refractive state |
9,616 |
9,607 |
$117K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,762 |
1,726 |
$101K |
| 92133 |
|
3,388 |
3,388 |
$95K |
| 92083 |
|
1,924 |
1,922 |
$92K |
| 92134 |
|
3,063 |
3,062 |
$88K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,813 |
1,790 |
$76K |
| 92275 |
|
550 |
550 |
$66K |
| 92136 |
|
2,360 |
1,365 |
$66K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
378 |
378 |
$46K |
| 92020 |
|
1,874 |
1,872 |
$34K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
350 |
350 |
$30K |
| 0509T |
|
469 |
469 |
$19K |
| 76514 |
|
1,792 |
1,790 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
116 |
116 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
54 |
54 |
$5K |
| 92226 |
|
90 |
76 |
$3K |
| 99072 |
|
149 |
147 |
$475.00 |
| 92132 |
|
12 |
12 |
$361.52 |