| Code | Description | Claims | Beneficiaries | Total Paid |
| 92250 |
|
3,768 |
3,738 |
$88K |
| 92133 |
|
5,648 |
5,640 |
$84K |
| 66761 |
|
593 |
316 |
$82K |
| 92201 |
|
2,511 |
2,451 |
$77K |
| 92202 |
|
2,921 |
2,898 |
$74K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,268 |
5,260 |
$69K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,183 |
3,158 |
$50K |
| 92083 |
|
3,521 |
3,507 |
$44K |
| 92020 |
|
5,008 |
5,002 |
$36K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
253 |
252 |
$17K |
| 92226 |
|
536 |
514 |
$16K |
| 92134 |
|
465 |
465 |
$13K |
| 92002 |
|
151 |
151 |
$5K |
| 92136 |
|
99 |
97 |
$4K |
| 76514 |
|
474 |
473 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
226 |
226 |
$3K |
| 92225 |
|
57 |
55 |
$3K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
15 |
15 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
123 |
123 |
$286.00 |