| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,157 |
1,136 |
$34K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,213 |
1,191 |
$28K |
| 92134 |
|
1,466 |
1,438 |
$23K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
116 |
107 |
$7K |
| 92202 |
|
1,046 |
1,029 |
$5K |
| 92250 |
|
359 |
353 |
$5K |
| 92015 |
Determination of refractive state |
332 |
330 |
$4K |
| 92273 |
|
171 |
168 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
304 |
275 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
74 |
74 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
39 |
38 |
$2K |
| 92083 |
|
118 |
117 |
$1K |
| 68761 |
|
86 |
81 |
$877.44 |
| 92226 |
|
708 |
693 |
$854.47 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
48 |
45 |
$566.08 |
| 92136 |
|
35 |
25 |
$443.23 |
| 92225 |
|
58 |
56 |
$153.16 |
| 68760 |
|
64 |
64 |
$113.96 |
| 65778 |
|
26 |
25 |
$61.45 |
| 83861 |
|
120 |
58 |
$0.00 |