| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
8,675 |
8,282 |
$249K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,056 |
2,055 |
$110K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,733 |
1,733 |
$65K |
| 92083 |
|
1,303 |
1,299 |
$31K |
| 92015 |
Determination of refractive state |
2,557 |
2,554 |
$19K |
| 92133 |
|
1,004 |
1,004 |
$17K |
| 92134 |
|
823 |
810 |
$13K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
12 |
12 |
$7K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
71 |
66 |
$5K |
| 92136 |
|
65 |
65 |
$3K |