| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,412 |
3,835 |
$124K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
455 |
430 |
$22K |
| 92341 |
|
319 |
314 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
72 |
$4K |
| ATP08 |
|
219 |
213 |
$2K |
| ATP03 |
|
270 |
266 |
$2K |
| 92342 |
|
47 |
46 |
$2K |
| ATP14 |
|
148 |
143 |
$1K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
100 |
98 |
$729.80 |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
17 |
17 |
$639.54 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
13 |
$480.72 |
| ATP04 |
|
65 |
65 |
$455.02 |
| 71046 |
Radiologic examination, chest; 2 views |
16 |
14 |
$316.99 |
| ATP17 |
|
28 |
28 |
$307.16 |
| ATP11 |
|
30 |
30 |
$273.30 |
| ATP07 |
|
30 |
27 |
$210.06 |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
19 |
18 |
$202.44 |
| 93000 |
|
14 |
14 |
$166.40 |
| 92015 |
Determination of refractive state |
14 |
14 |
$140.00 |
| ATP02 |
|
26 |
26 |
$134.25 |
| ATP05 |
|
13 |
13 |
$104.78 |
| 87081 |
|
17 |
17 |
$102.60 |
| 90686 |
|
13 |
13 |
$19.03 |