| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 65778 |
|
7,373 |
3,934 |
$6.23M |
| 68761 |
|
5,899 |
2,661 |
$1.09M |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,154 |
3,958 |
$265K |
| 92250 |
|
5,574 |
5,309 |
$227K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,183 |
2,051 |
$173K |
| 92083 |
|
4,062 |
3,879 |
$162K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,517 |
1,472 |
$103K |
| 92020 |
|
5,595 |
5,328 |
$102K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,098 |
3,918 |
$64K |
| 92015 |
Determination of refractive state |
4,853 |
4,636 |
$37K |
| 92341 |
|
15 |
15 |
$162.00 |