| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,267 |
2,539 |
$71K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,366 |
1,231 |
$65K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
38 |
26 |
$32K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
191 |
174 |
$7K |
| 68761 |
|
116 |
68 |
$6K |
| 92083 |
|
86 |
83 |
$3K |
| 92136 |
|
15 |
14 |
$600.60 |
| 92133 |
|
14 |
13 |
$338.00 |
| 92015 |
Determination of refractive state |
13 |
12 |
$232.83 |