| Code | Description | Claims | Beneficiaries | Total Paid |
| 92226 |
|
1,156 |
319 |
$39K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
338 |
169 |
$15K |
| 92225 |
|
346 |
166 |
$12K |
| 92060 |
|
242 |
230 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
245 |
231 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
191 |
183 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
157 |
152 |
$6K |
| 92015 |
Determination of refractive state |
541 |
526 |
$6K |
| 99222 |
Initial hospital care, per day, moderate complexity |
24 |
24 |
$2K |
| 99221 |
|
12 |
12 |
$649.60 |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
26 |
13 |
$497.40 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$243.60 |