| Code | Description | Claims | Beneficiaries | Total Paid |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
130 |
77 |
$22K |
| 92136 |
|
522 |
376 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
527 |
399 |
$8K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
193 |
132 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
123 |
108 |
$5K |
| 92134 |
|
283 |
196 |
$3K |
| J9035 |
Injection, bevacizumab, 10 mg |
18 |
15 |
$1K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
30 |
27 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$921.29 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
51 |
51 |
$679.39 |
| 92015 |
Determination of refractive state |
106 |
83 |
$543.31 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
50 |
42 |
$370.05 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
18 |
12 |
$135.88 |