| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
93 |
82 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
43 |
$4K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
17 |
16 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
44 |
42 |
$2K |
| 92136 |
|
52 |
38 |
$1K |
| 92015 |
Determination of refractive state |
65 |
65 |
$873.52 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
24 |
24 |
$631.02 |
| 92134 |
|
15 |
14 |
$478.41 |