| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
104 |
81 |
$41K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
145 |
91 |
$26K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
375 |
374 |
$7K |
| 92015 |
Determination of refractive state |
968 |
889 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
362 |
327 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
216 |
216 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
224 |
220 |
$3K |
| 92136 |
|
226 |
179 |
$3K |
| 92250 |
|
114 |
113 |
$1K |
| 92133 |
|
66 |
65 |
$1K |
| 92134 |
|
27 |
25 |
$598.50 |