| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 65778 |
|
140 |
101 |
$109K |
| 67938 |
|
648 |
255 |
$76K |
| 92250 |
|
635 |
549 |
$34K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
370 |
309 |
$31K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
151 |
141 |
$16K |
| 92065 |
|
398 |
299 |
$15K |
| 92015 |
Determination of refractive state |
999 |
858 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
151 |
116 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
110 |
88 |
$4K |
| 99215 |
Prolong outpt/office vis |
39 |
26 |
$3K |
| 92060 |
|
44 |
39 |
$2K |
| 76519 |
|
30 |
13 |
$1K |
| 92083 |
|
13 |
12 |
$602.49 |
| 92545 |
|
48 |
38 |
$558.76 |