| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,349 |
6,319 |
$553K |
| 68761 |
|
5,989 |
3,219 |
$532K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,683 |
3,531 |
$222K |
| 92250 |
|
6,216 |
6,199 |
$204K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,622 |
1,622 |
$172K |
| 92083 |
|
3,481 |
3,470 |
$166K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,269 |
1,269 |
$152K |
| 92286 |
|
3,423 |
3,411 |
$109K |
| 92020 |
|
4,678 |
4,666 |
$83K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
894 |
894 |
$72K |
| 92060 |
|
1,552 |
1,544 |
$70K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,134 |
1,050 |
$67K |
| 92015 |
Determination of refractive state |
3,174 |
3,162 |
$37K |
| 92134 |
|
1,463 |
1,452 |
$34K |
| 76514 |
|
3,603 |
3,586 |
$26K |
| 76512 |
|
574 |
301 |
$23K |
| 92201 |
|
1,475 |
1,471 |
$22K |
| 92133 |
|
578 |
578 |
$14K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
40 |
40 |
$11K |
| 92136 |
|
169 |
165 |
$6K |
| 92225 |
|
186 |
139 |
$6K |
| 92025 |
|
188 |
188 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
31 |
$2K |
| 92002 |
|
21 |
21 |
$2K |
| 92202 |
|
95 |
95 |
$896.90 |
| 92273 |
|
12 |
12 |
$759.56 |
| 92285 |
|
34 |
33 |
$465.45 |
| 99072 |
|
19 |
19 |
$0.00 |