| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
892 |
864 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
46 |
44 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
144 |
127 |
$518.33 |
| 92134 |
|
62 |
55 |
$245.96 |
| CP004 |
|
14 |
12 |
$117.60 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
88 |
83 |
$97.45 |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
15 |
12 |
$85.80 |
| 92015 |
Determination of refractive state |
12 |
12 |
$47.28 |
| 83861 |
|
402 |
197 |
$0.00 |