| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,143 |
1,082 |
$68K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
771 |
768 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
333 |
331 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
329 |
325 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
323 |
322 |
$21K |
| 92083 |
|
560 |
557 |
$19K |
| 92133 |
|
494 |
491 |
$12K |
| 92015 |
Determination of refractive state |
996 |
990 |
$9K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
26 |
25 |
$8K |
| 92250 |
|
163 |
163 |
$4K |
| 92020 |
|
229 |
227 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
30 |
27 |
$2K |
| 92134 |
|
64 |
62 |
$1K |
| 92025 |
|
43 |
41 |
$1K |
| 76514 |
|
90 |
90 |
$717.57 |