| Code | Description | Claims | Beneficiaries | Total Paid |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
2,527 |
2,003 |
$344K |
| 00142 |
|
2,876 |
2,593 |
$183K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
591 |
591 |
$50K |
| 92136 |
|
2,162 |
1,730 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
182 |
174 |
$8K |
| 92083 |
|
178 |
178 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
47 |
41 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
28 |
28 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$2K |
| 92133 |
|
38 |
38 |
$900.68 |
| 76519 |
|
26 |
24 |
$692.74 |