| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 68761 |
|
1,093 |
574 |
$15K |
| 92082 |
|
1,063 |
630 |
$11K |
| 92250 |
|
1,793 |
911 |
$7K |
| 99348 |
|
743 |
481 |
$7K |
| 99349 |
|
455 |
273 |
$5K |
| 99345 |
Prolong home eval add 15m |
113 |
60 |
$3K |
| 92285 |
|
1,271 |
630 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
220 |
191 |
$2K |
| 99344 |
|
107 |
62 |
$2K |
| 92020 |
|
842 |
460 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
143 |
123 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
36 |
$910.34 |
| 92083 |
|
39 |
32 |
$435.21 |
| 92015 |
Determination of refractive state |
46 |
44 |
$312.04 |
| 92341 |
|
12 |
12 |
$310.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
19 |
$148.19 |
| 76514 |
|
16 |
16 |
$94.67 |