| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
393 |
375 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
113 |
103 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
41 |
41 |
$3K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
19 |
13 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$1K |
| 92015 |
Determination of refractive state |
41 |
37 |
$700.00 |
| 92134 |
|
27 |
25 |
$219.34 |
| 92136 |
|
12 |
12 |
$190.02 |
| 92133 |
|
12 |
12 |
$3.50 |