| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,955 |
3,915 |
$267K |
| 92250 |
|
5,689 |
5,595 |
$167K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,310 |
3,252 |
$115K |
| 92060 |
|
4,439 |
4,319 |
$105K |
| 92083 |
|
4,091 |
4,000 |
$102K |
| 92020 |
|
9,359 |
9,166 |
$89K |
| 68761 |
|
1,617 |
1,048 |
$88K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,815 |
4,554 |
$76K |
| 65222 |
|
3,180 |
3,124 |
$74K |
| 68810 |
|
1,417 |
1,327 |
$64K |
| 67801 |
|
1,379 |
1,363 |
$57K |
| 92225 |
|
1,854 |
1,637 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
547 |
537 |
$31K |
| 92133 |
|
1,623 |
1,585 |
$27K |
| 67820 |
|
2,634 |
2,548 |
$22K |
| 92226 |
|
1,737 |
1,580 |
$21K |
| 92201 |
|
1,632 |
1,569 |
$16K |
| 92134 |
|
943 |
913 |
$15K |
| 92202 |
|
1,614 |
1,597 |
$8K |
| 99051 |
|
840 |
830 |
$5K |
| 92285 |
|
976 |
891 |
$5K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
578 |
556 |
$5K |
| 68040 |
|
88 |
82 |
$2K |
| 76514 |
|
568 |
553 |
$1K |
| 92015 |
Determination of refractive state |
120 |
120 |
$984.27 |
| 76512 |
|
62 |
58 |
$730.39 |
| 65205 |
|
32 |
30 |
$656.06 |
| V2020 |
Frames, purchases |
14 |
14 |
$178.02 |
| A4262 |
Temporary, absorbable lacrimal duct implant, each |
13 |
13 |
$0.00 |
| 2022F |
|
315 |
306 |
$0.00 |