| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 68761 |
|
6,632 |
1,986 |
$557K |
| 92273 |
|
5,451 |
3,528 |
$390K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
9,225 |
8,818 |
$292K |
| 92250 |
|
10,889 |
7,920 |
$261K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,565 |
4,543 |
$194K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,304 |
5,972 |
$173K |
| 92083 |
|
6,892 |
4,658 |
$135K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,087 |
2,087 |
$125K |
| 92133 |
|
6,619 |
4,457 |
$112K |
| 68840 |
|
331 |
269 |
$82K |
| 92284 |
|
3,765 |
2,898 |
$72K |
| 92020 |
|
5,834 |
3,965 |
$69K |
| 92134 |
|
2,265 |
1,566 |
$58K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,771 |
1,764 |
$50K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
799 |
796 |
$44K |
| 92225 |
|
1,623 |
866 |
$42K |
| 92226 |
|
1,582 |
967 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
669 |
669 |
$21K |
| 76513 |
|
456 |
240 |
$18K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
19 |
19 |
$16K |
| 92275 |
|
73 |
53 |
$11K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
69 |
69 |
$8K |
| 76514 |
|
952 |
652 |
$7K |
| 92201 |
|
422 |
302 |
$6K |
| 92002 |
|
1,103 |
1,085 |
$4K |
| 92136 |
|
85 |
73 |
$3K |
| 92235 |
|
47 |
23 |
$2K |
| 92015 |
Determination of refractive state |
2,827 |
2,825 |
$2K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
45 |
45 |
$1K |
| 99205 |
Prolong outpt/office vis |
12 |
12 |
$496.20 |
| 76512 |
|
19 |
14 |
$388.60 |
| 92145 |
|
27 |
17 |
$340.60 |
| 92025 |
|
24 |
24 |
$268.20 |