| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,191 |
959 |
$26K |
| 11721 |
|
2,166 |
1,541 |
$14K |
| 92015 |
Determination of refractive state |
886 |
485 |
$7K |
| 11720 |
|
2,134 |
1,293 |
$5K |
| G0127 |
Trimming of dystrophic nails, any number |
1,734 |
1,022 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
244 |
111 |
$2K |
| 92567 |
|
805 |
394 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
118 |
111 |
$711.88 |
| 92002 |
|
64 |
57 |
$586.37 |
| 92557 |
|
315 |
121 |
$574.27 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
166 |
78 |
$396.70 |
| 92552 |
|
98 |
44 |
$179.28 |
| 92553 |
|
41 |
27 |
$42.89 |
| 92556 |
|
93 |
33 |
$31.88 |
| D0120 |
Periodic oral evaluation - established patient |
190 |
142 |
$0.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
16 |
12 |
$0.00 |