| Code | Description | Claims | Beneficiaries | Total Paid |
| 92286 |
|
1,565 |
1,513 |
$74K |
| 92002 |
|
1,081 |
1,048 |
$46K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,508 |
1,383 |
$42K |
| 92134 |
|
1,647 |
1,594 |
$29K |
| 92025 |
|
1,550 |
1,496 |
$25K |
| 92250 |
|
897 |
871 |
$20K |
| 68761 |
|
219 |
160 |
$12K |
| 76514 |
|
1,350 |
1,288 |
$6K |
| 92201 |
|
556 |
530 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
103 |
95 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
128 |
126 |
$6K |
| 92136 |
|
215 |
119 |
$3K |
| 92020 |
|
235 |
229 |
$3K |
| 92133 |
|
138 |
135 |
$3K |
| 76512 |
|
96 |
84 |
$2K |
| 92225 |
|
96 |
69 |
$1K |
| 92226 |
|
91 |
71 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
37 |
37 |
$852.85 |
| 92202 |
|
108 |
107 |
$594.65 |