| Code | Description | Claims | Beneficiaries | Total Paid |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
55 |
53 |
$31K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
169 |
160 |
$4K |
| 92015 |
Determination of refractive state |
147 |
140 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
25 |
25 |
$1K |
| 92136 |
|
31 |
30 |
$823.94 |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
12 |
$693.41 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
31 |
27 |
$605.12 |
| 92250 |
|
12 |
12 |
$185.77 |