| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,228 |
1,221 |
$58K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
712 |
710 |
$44K |
| 92015 |
Determination of refractive state |
1,865 |
1,856 |
$24K |
| 92250 |
|
680 |
676 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
114 |
110 |
$7K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
58 |
51 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
227 |
221 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
67 |
67 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$767.41 |
| 83861 |
|
118 |
74 |
$659.72 |
| 83516 |
|
137 |
87 |
$477.42 |
| 92285 |
|
49 |
46 |
$443.87 |
| 92133 |
|
12 |
12 |
$176.80 |