| Code | Description | Claims | Beneficiaries | Total Paid |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
389 |
350 |
$244K |
| 93892 |
|
2,072 |
1,807 |
$230K |
| 93890 |
|
2,024 |
1,755 |
$211K |
| 93886 |
|
2,037 |
1,782 |
$180K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,897 |
1,583 |
$110K |
| 92250 |
|
3,014 |
2,692 |
$102K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,747 |
3,262 |
$99K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,503 |
2,230 |
$92K |
| 92015 |
Determination of refractive state |
3,703 |
3,261 |
$60K |
| 92083 |
|
1,703 |
1,519 |
$48K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,197 |
1,754 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
729 |
676 |
$32K |
| 92133 |
|
1,642 |
1,487 |
$32K |
| 95144 |
|
73 |
14 |
$20K |
| 93880 |
|
263 |
257 |
$18K |
| 92134 |
|
1,090 |
945 |
$18K |
| 92136 |
|
564 |
319 |
$14K |
| 92260 |
|
454 |
435 |
$9K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
183 |
152 |
$7K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
303 |
268 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
55 |
54 |
$3K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
13 |
12 |
$959.38 |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
18 |
16 |
$876.12 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
28 |
22 |
$579.59 |
| 99443 |
|
12 |
12 |
$345.98 |
| 76514 |
|
76 |
56 |
$328.78 |
| 99442 |
|
59 |
52 |
$303.30 |
| 92025 |
|
17 |
14 |
$203.08 |
| 99072 |
|
285 |
219 |
$175.95 |
| 99441 |
|
15 |
13 |
$72.02 |