| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12,326 |
11,734 |
$163K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
566 |
558 |
$135K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,430 |
11,374 |
$127K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,836 |
3,803 |
$49K |
| 92133 |
|
4,190 |
4,185 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
852 |
849 |
$14K |
| 92136 |
|
697 |
488 |
$6K |
| 92020 |
|
1,393 |
1,389 |
$5K |
| V2020 |
Frames, purchases |
529 |
529 |
$5K |
| 92083 |
|
602 |
601 |
$4K |
| 92250 |
|
282 |
282 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
301 |
301 |
$3K |
| 92015 |
Determination of refractive state |
1,518 |
1,508 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
72 |
72 |
$2K |
| 66821 |
|
12 |
12 |
$663.38 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$435.13 |
| 92134 |
|
79 |
79 |
$282.40 |
| 92341 |
|
25 |
25 |
$171.72 |
| 76514 |
|
29 |
29 |
$65.78 |
| 3072F |
|
519 |
518 |
$0.00 |