| Code | Description | Claims | Beneficiaries | Total Paid |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
620 |
345 |
$93K |
| 00142 |
|
445 |
346 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
371 |
242 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
371 |
251 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
125 |
78 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
195 |
168 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
43 |
38 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
71 |
49 |
$2K |
| 92133 |
|
116 |
79 |
$1K |
| 92136 |
|
185 |
96 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$537.30 |
| 92083 |
|
44 |
32 |
$335.68 |
| 92250 |
|
35 |
24 |
$263.36 |
| 92025 |
|
19 |
12 |
$38.41 |
| 92285 |
|
13 |
12 |
$17.16 |