| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,417 |
1,079 |
$86K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,740 |
1,395 |
$82K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
375 |
323 |
$13K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
52 |
40 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
447 |
397 |
$8K |
| 92133 |
|
140 |
116 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71 |
60 |
$2K |
| 76519 |
|
129 |
53 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$967.71 |
| 92015 |
Determination of refractive state |
117 |
104 |
$0.00 |