| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,454 |
1,279 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
498 |
439 |
$25K |
| 92134 |
|
988 |
836 |
$8K |
| 92202 |
|
1,625 |
1,394 |
$5K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
89 |
50 |
$5K |
| 92225 |
|
540 |
280 |
$5K |
| 68761 |
|
120 |
69 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
123 |
106 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
338 |
266 |
$4K |
| 92136 |
|
226 |
103 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
132 |
118 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
90 |
79 |
$2K |
| 92226 |
|
341 |
210 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
12 |
$288.67 |
| 92015 |
Determination of refractive state |
15 |
12 |
$150.00 |
| 92133 |
|
13 |
12 |
$13.72 |