| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
11,770 |
11,480 |
$827K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,638 |
5,500 |
$485K |
| 92015 |
Determination of refractive state |
20,314 |
19,820 |
$227K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,020 |
1,788 |
$83K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
641 |
601 |
$49K |
| 92060 |
|
916 |
910 |
$32K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
85 |
62 |
$26K |
| 92136 |
|
161 |
140 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
56 |
54 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
36 |
$4K |
| 92002 |
|
82 |
80 |
$215.84 |
| 4004F |
|
13 |
12 |
$0.00 |
| 4040F |
|
14 |
14 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
132 |
101 |
$0.00 |