| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,086 |
1,071 |
$81K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
727 |
683 |
$54K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
407 |
404 |
$47K |
| 92134 |
|
1,132 |
1,047 |
$31K |
| 92136 |
|
482 |
479 |
$20K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
45 |
28 |
$17K |
| 92002 |
|
25 |
25 |
$2K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
14 |
12 |
$1K |
| 76519 |
|
24 |
24 |
$1K |
| J7999 |
Compounded drug, not otherwise classified |
14 |
12 |
$736.01 |