| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,674 |
4,672 |
$604K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,963 |
3,958 |
$435K |
| 92060 |
|
6,436 |
6,411 |
$343K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,348 |
3,202 |
$252K |
| 92083 |
|
3,718 |
3,710 |
$205K |
| 92250 |
|
5,936 |
5,929 |
$199K |
| 92020 |
|
7,712 |
7,667 |
$181K |
| 65222 |
|
2,872 |
2,863 |
$164K |
| G0108 |
Diabetes outpatient self-management training services, individual, per 30 minutes |
1,851 |
1,806 |
$85K |
| 67820 |
|
3,563 |
3,532 |
$74K |
| 67801 |
|
466 |
466 |
$64K |
| 68761 |
|
603 |
307 |
$59K |
| 92225 |
|
2,266 |
1,218 |
$45K |
| 92201 |
|
1,498 |
1,491 |
$32K |
| 92202 |
|
1,492 |
1,488 |
$20K |
| 68810 |
|
124 |
88 |
$18K |
| 92133 |
|
557 |
555 |
$17K |
| 92226 |
|
540 |
330 |
$13K |
| 68040 |
|
200 |
200 |
$10K |
| 92015 |
Determination of refractive state |
827 |
825 |
$9K |
| 99051 |
|
783 |
765 |
$5K |
| 76514 |
|
564 |
564 |
$5K |
| 92134 |
|
80 |
80 |
$3K |
| 92285 |
|
592 |
585 |
$3K |
| 99401 |
|
107 |
107 |
$2K |
| 92002 |
|
12 |
12 |
$872.74 |
| 65205 |
|
14 |
12 |
$410.63 |
| 99050 |
|
15 |
15 |
$219.24 |
| 2022F |
|
1,241 |
1,211 |
$0.00 |