| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
700 |
698 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,000 |
962 |
$46K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
475 |
456 |
$19K |
| 92134 |
|
317 |
316 |
$11K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
13 |
12 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,236 |
1,232 |
$3K |
| 76519 |
|
12 |
12 |
$814.11 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
361 |
361 |
$276.05 |
| 1036F |
|
13 |
13 |
$0.00 |