| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,153 |
1,910 |
$54K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
426 |
373 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
376 |
340 |
$13K |
| 92134 |
|
629 |
558 |
$12K |
| 76519 |
|
124 |
100 |
$3K |
| 66821 |
|
16 |
15 |
$2K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
17 |
12 |
$2K |
| 92250 |
|
144 |
133 |
$2K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
15 |
12 |
$1K |
| 92020 |
|
36 |
32 |
$364.34 |
| G8867 |
Pneumococcal vaccine not administered or previously received, reason not given |
27 |
27 |
$0.00 |
| 2022F |
|
208 |
200 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
26 |
26 |
$0.00 |