| Code | Description | Claims | Beneficiaries | Total Paid |
| 92273 |
|
9,875 |
6,939 |
$798K |
| 95004 |
Percutaneous tests with allergenic extracts, immediate type reaction |
4,384 |
2,191 |
$752K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
9,409 |
7,664 |
$682K |
| 92083 |
|
14,307 |
9,200 |
$532K |
| 92283 |
|
14,809 |
9,520 |
$314K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
3,513 |
2,907 |
$258K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
2,515 |
2,084 |
$249K |
| 92284 |
|
9,177 |
5,321 |
$235K |
| 92133 |
|
11,170 |
6,335 |
$205K |
| 92020 |
|
11,906 |
7,163 |
$145K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,193 |
5,899 |
$119K |
| 92275 |
|
1,385 |
1,211 |
$115K |
| 92250 |
|
1,760 |
1,379 |
$74K |
| 76514 |
|
11,185 |
6,732 |
$69K |
| 95930 |
|
1,027 |
907 |
$63K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
592 |
462 |
$52K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
252 |
173 |
$50K |
| 92370 |
|
6,339 |
6,030 |
$43K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
577 |
408 |
$42K |
| 92060 |
|
1,737 |
738 |
$33K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
341 |
331 |
$18K |
| 95115 |
|
349 |
110 |
$2K |