| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,546 |
2,940 |
$148K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,460 |
2,991 |
$142K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,757 |
1,463 |
$113K |
| 68761 |
|
1,454 |
809 |
$96K |
| 92134 |
|
3,712 |
3,697 |
$84K |
| 92083 |
|
2,016 |
2,011 |
$67K |
| 92015 |
Determination of refractive state |
4,434 |
3,998 |
$66K |
| 92286 |
|
1,576 |
1,576 |
$52K |
| 92250 |
|
1,926 |
1,924 |
$49K |
| 92020 |
|
2,583 |
2,567 |
$36K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
412 |
412 |
$35K |
| 92133 |
|
1,564 |
1,561 |
$30K |
| 92285 |
|
1,906 |
1,906 |
$25K |
| 92202 |
|
1,934 |
1,917 |
$15K |
| 92145 |
|
1,227 |
1,162 |
$14K |
| 92100 |
|
293 |
292 |
$13K |
| 95930 |
|
193 |
193 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
73 |
73 |
$9K |
| 66762 |
|
52 |
40 |
$9K |
| 66761 |
|
74 |
69 |
$7K |
| 92273 |
|
120 |
120 |
$7K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
27 |
27 |
$6K |
| 92226 |
|
347 |
347 |
$5K |
| 65860 |
|
74 |
69 |
$4K |
| 92275 |
|
37 |
37 |
$4K |
| 83861 |
|
209 |
207 |
$3K |
| 76514 |
|
407 |
406 |
$3K |
| 67210 |
|
18 |
15 |
$3K |
| 92132 |
|
214 |
214 |
$3K |
| 65855 |
|
40 |
29 |
$3K |
| 92225 |
|
124 |
124 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
103 |
101 |
$2K |
| 92136 |
|
50 |
49 |
$2K |
| 65778 |
|
14 |
14 |
$2K |
| 66821 |
|
30 |
27 |
$321.78 |
| 99442 |
|
19 |
18 |
$287.54 |
| 99072 |
|
114 |
98 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
35 |
35 |
$0.00 |