| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
548 |
547 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
526 |
516 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
170 |
170 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
56 |
54 |
$2K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
12 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
17 |
$173.74 |
| 92015 |
Determination of refractive state |
95 |
95 |
$20.21 |
| 92133 |
|
28 |
27 |
$20.02 |