| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92060 |
|
5,479 |
5,221 |
$405K |
| 76512 |
|
3,388 |
2,801 |
$258K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,259 |
1,258 |
$199K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,502 |
1,479 |
$157K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,213 |
1,200 |
$132K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
656 |
656 |
$119K |
| 92201 |
|
3,732 |
3,684 |
$97K |
| 92015 |
Determination of refractive state |
1,919 |
1,918 |
$42K |
| 92226 |
|
1,196 |
802 |
$37K |
| 92225 |
|
984 |
653 |
$33K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
81 |
81 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
84 |
83 |
$8K |
| 92202 |
|
22 |
22 |
$329.22 |