| Code | Description | Claims | Beneficiaries | Total Paid |
| 92507 |
Treatment of speech, language, voice, communication, and/or auditory processing disorder |
433 |
132 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
372 |
348 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
181 |
172 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
56 |
$7K |
| 92567 |
|
279 |
267 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
16 |
$1K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
14 |
14 |
$1K |
| 92557 |
|
30 |
28 |
$859.45 |
| 92060 |
|
13 |
13 |
$515.88 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
50 |
49 |
$376.97 |
| 92133 |
|
12 |
12 |
$78.88 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
27 |
26 |
$60.73 |
| 92015 |
Determination of refractive state |
17 |
17 |
$20.11 |