| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,953 |
11,314 |
$919K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13,647 |
12,375 |
$457K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,451 |
4,294 |
$440K |
| 92250 |
|
11,941 |
11,297 |
$281K |
| 65855 |
|
1,012 |
847 |
$106K |
| 92083 |
|
3,634 |
3,394 |
$103K |
| 92015 |
Determination of refractive state |
4,465 |
4,203 |
$60K |
| 92133 |
|
3,279 |
3,053 |
$53K |
| 83861 |
|
4,680 |
2,285 |
$53K |
| 66982 |
|
160 |
113 |
$39K |
| 68761 |
|
899 |
723 |
$38K |
| 92020 |
|
2,134 |
2,016 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,016 |
917 |
$24K |
| 66821 |
|
205 |
143 |
$20K |
| 76519 |
|
799 |
692 |
$19K |
| 92275 |
|
257 |
257 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
324 |
290 |
$11K |
| 92134 |
|
597 |
535 |
$10K |
| 92273 |
|
157 |
147 |
$8K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
30 |
26 |
$6K |
| 66174 |
|
16 |
12 |
$6K |
| 92225 |
|
363 |
189 |
$6K |
| 76514 |
|
900 |
875 |
$5K |
| 0191T |
|
19 |
13 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$2K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
857 |
646 |
$2K |
| 99215 |
Prolong outpt/office vis |
13 |
13 |
$818.38 |
| 95930 |
|
17 |
17 |
$675.37 |
| 92201 |
|
29 |
27 |
$314.37 |
| 92202 |
|
13 |
12 |
$102.56 |
| 99058 |
|
13 |
13 |
$40.00 |
| 2024F |
|
32 |
32 |
$8.00 |
| 2026F |
|
32 |
32 |
$8.00 |
| 99072 |
|
17 |
17 |
$0.00 |
| 5010F |
|
12 |
12 |
$0.00 |