| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92250 |
|
2,754 |
2,713 |
$40K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,726 |
2,676 |
$34K |
| 92083 |
|
2,395 |
2,357 |
$22K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
694 |
686 |
$19K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,311 |
2,144 |
$18K |
| 68761 |
|
3,229 |
1,611 |
$12K |
| 92133 |
|
1,220 |
1,203 |
$7K |
| 92020 |
|
1,115 |
1,093 |
$2K |
| 92286 |
|
176 |
174 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
330 |
316 |
$2K |
| 92134 |
|
791 |
771 |
$2K |
| 92226 |
|
944 |
831 |
$2K |
| 92275 |
|
217 |
214 |
$810.45 |
| 92202 |
|
581 |
574 |
$800.10 |
| 92225 |
|
176 |
137 |
$681.53 |
| 92015 |
Determination of refractive state |
298 |
289 |
$638.26 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
112 |
108 |
$495.23 |
| 95930 |
|
14 |
14 |
$460.51 |
| 92201 |
|
120 |
119 |
$444.77 |
| 76514 |
|
359 |
357 |
$385.92 |
| 83861 |
|
2,657 |
1,355 |
$251.78 |
| 92025 |
|
121 |
118 |
$141.65 |
| 92273 |
|
74 |
74 |
$125.70 |
| 83516 |
|
2,011 |
998 |
$43.58 |
| 0509T |
|
297 |
295 |
$0.00 |
| 76513 |
|
12 |
12 |
$0.00 |