| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 67311 |
|
70 |
46 |
$25K |
| 99222 |
Initial hospital care, per day, moderate complexity |
320 |
288 |
$24K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
288 |
285 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
171 |
156 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
203 |
175 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
101 |
95 |
$9K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
130 |
98 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
105 |
97 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
51 |
50 |
$2K |
| 92015 |
Determination of refractive state |
66 |
62 |
$323.52 |
| 92285 |
|
27 |
25 |
$287.71 |
| 2023F |
|
43 |
43 |
$0.00 |