| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 68761 |
|
10,738 |
7,341 |
$1.11M |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14,093 |
13,685 |
$752K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
2,420 |
2,390 |
$463K |
| 92273 |
|
6,687 |
6,664 |
$458K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,507 |
3,497 |
$397K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,532 |
4,465 |
$364K |
| 92083 |
|
7,846 |
7,781 |
$284K |
| 92250 |
|
8,273 |
8,173 |
$261K |
| 66761 |
|
1,117 |
755 |
$192K |
| 65855 |
|
1,574 |
1,070 |
$188K |
| 92235 |
|
2,893 |
2,866 |
$183K |
| 92133 |
|
7,866 |
7,802 |
$169K |
| 95930 |
|
940 |
861 |
$74K |
| 92020 |
|
3,367 |
3,339 |
$61K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,220 |
1,209 |
$60K |
| 92202 |
|
3,882 |
3,866 |
$35K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
943 |
926 |
$35K |
| 92275 |
|
197 |
194 |
$33K |
| 92226 |
|
1,326 |
890 |
$28K |
| 76514 |
|
2,112 |
2,073 |
$20K |
| 92002 |
|
235 |
235 |
$19K |
| 92201 |
|
912 |
906 |
$11K |
| 66821 |
|
75 |
60 |
$8K |
| 92225 |
|
249 |
165 |
$7K |
| 92015 |
Determination of refractive state |
128 |
126 |
$2K |