| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
853 |
565 |
$21K |
| 99336 |
|
280 |
266 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
459 |
312 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
327 |
188 |
$5K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
57 |
41 |
$4K |
| 92015 |
Determination of refractive state |
531 |
294 |
$3K |
| 76512 |
|
54 |
52 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
56 |
50 |
$961.83 |
| 76514 |
|
30 |
26 |
$357.44 |
| 92136 |
|
51 |
12 |
$141.52 |