| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
120 |
108 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
160 |
149 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
144 |
135 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
168 |
162 |
$4K |
| 92136 |
|
257 |
225 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
145 |
136 |
$3K |
| 92015 |
Determination of refractive state |
49 |
43 |
$612.39 |
| 92133 |
|
14 |
14 |
$148.44 |
| 1036F |
|
121 |
106 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
121 |
106 |
$0.00 |