| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,192 |
1,070 |
$68K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
404 |
369 |
$25K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
242 |
236 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
92 |
92 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
124 |
121 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
76 |
76 |
$9K |
| 68761 |
|
52 |
32 |
$5K |
| 92083 |
|
90 |
89 |
$4K |
| 92020 |
|
174 |
173 |
$3K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
12 |
12 |
$3K |
| 92134 |
|
64 |
64 |
$2K |
| 92250 |
|
41 |
38 |
$1K |
| 92201 |
|
56 |
55 |
$994.73 |
| 92225 |
|
33 |
25 |
$780.10 |
| 92133 |
|
27 |
27 |
$736.24 |
| 92015 |
Determination of refractive state |
38 |
38 |
$584.33 |
| 92226 |
|
19 |
12 |
$411.41 |
| 92202 |
|
41 |
41 |
$381.40 |
| 76514 |
|
26 |
26 |
$218.19 |
| 92100 |
|
12 |
12 |
$82.20 |