| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
681 |
650 |
$64K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
760 |
707 |
$45K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
779 |
712 |
$35K |
| 92250 |
|
1,172 |
1,083 |
$32K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
20 |
13 |
$6K |
| 92002 |
|
41 |
37 |
$2K |
| 76514 |
|
12 |
12 |
$69.86 |
| 1123F |
|
24 |
24 |
$0.00 |
| 1036F |
|
25 |
25 |
$0.00 |