| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
343 |
343 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
410 |
401 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
107 |
107 |
$5K |
| 92134 |
|
169 |
169 |
$2K |
| 68761 |
|
106 |
52 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
23 |
20 |
$1K |
| 92083 |
|
76 |
76 |
$1K |
| 92250 |
|
57 |
57 |
$668.99 |
| 92202 |
|
103 |
75 |
$590.58 |
| 92133 |
|
112 |
112 |
$489.00 |
| 92226 |
|
114 |
67 |
$432.09 |
| 92225 |
|
60 |
36 |
$222.38 |
| 92020 |
|
40 |
40 |
$139.25 |