| Code | Description | Claims | Beneficiaries | Total Paid |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
27 |
25 |
$19K |
| 92015 |
Determination of refractive state |
383 |
360 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
166 |
164 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
121 |
112 |
$2K |
| 92136 |
|
43 |
37 |
$966.29 |
| 92083 |
|
27 |
27 |
$700.23 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
24 |
$557.75 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
13 |
13 |
$387.20 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$328.31 |
| 92133 |
|
16 |
16 |
$156.00 |