| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,098 |
1,034 |
$27K |
| 92015 |
Determination of refractive state |
864 |
794 |
$12K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
13 |
13 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
147 |
138 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
62 |
54 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
26 |
$1K |
| 92136 |
|
29 |
27 |
$664.09 |