| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67311 |
|
367 |
281 |
$200K |
| 92060 |
|
1,757 |
1,523 |
$84K |
| 92225 |
|
670 |
498 |
$58K |
| 67332 |
|
56 |
39 |
$27K |
| 92226 |
|
262 |
180 |
$19K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
182 |
176 |
$15K |
| 99243 |
|
136 |
97 |
$12K |
| 76510 |
|
78 |
51 |
$10K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
52 |
52 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
74 |
69 |
$9K |
| 92015 |
Determination of refractive state |
175 |
172 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
39 |
34 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$1K |
| 92201 |
|
48 |
34 |
$847.20 |
| 92202 |
|
42 |
38 |
$776.69 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$689.44 |
| 76514 |
|
37 |
25 |
$318.44 |