| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
587 |
545 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
220 |
197 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
19 |
13 |
$255.78 |
| 92133 |
|
93 |
83 |
$232.41 |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
15 |
12 |
$171.27 |
| 92250 |
|
15 |
14 |
$111.38 |
| 92136 |
|
12 |
12 |
$52.80 |