| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
3,810 |
3,147 |
$147K |
| 92250 |
|
2,758 |
2,314 |
$84K |
| 92083 |
|
1,983 |
1,745 |
$64K |
| 68761 |
|
612 |
529 |
$46K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,304 |
1,099 |
$46K |
| 92134 |
|
1,362 |
1,092 |
$24K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
171 |
149 |
$20K |
| 92133 |
|
789 |
720 |
$18K |
| 92285 |
|
711 |
585 |
$8K |
| 92226 |
|
545 |
249 |
$7K |
| 92015 |
Determination of refractive state |
437 |
335 |
$4K |
| 92025 |
|
271 |
226 |
$4K |
| 92020 |
|
268 |
243 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
74 |
67 |
$2K |
| 67820 |
|
65 |
40 |
$1K |
| 76514 |
|
202 |
170 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
41 |
38 |
$620.37 |
| 99072 |
|
1,569 |
1,070 |
$126.12 |
| A4263 |
Permanent, long term, non-dissolvable lacrimal duct implant, each |
628 |
516 |
$3.16 |
| 99024 |
|
15 |
12 |
$0.00 |
| S9999 |
Sales tax |
12 |
12 |
$0.00 |