| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
630 |
557 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
183 |
163 |
$9K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
192 |
190 |
$6K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
14 |
12 |
$5K |
| 92025 |
|
42 |
39 |
$831.80 |
| 92136 |
|
27 |
26 |
$716.35 |
| 76514 |
|
18 |
14 |
$119.94 |