| Code | Description | Claims | Beneficiaries | Total Paid |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
1,091 |
1,003 |
$952K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,155 |
6,091 |
$400K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
9,435 |
8,932 |
$371K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
8,276 |
8,238 |
$318K |
| 92015 |
Determination of refractive state |
10,665 |
10,596 |
$136K |
| 92250 |
|
2,967 |
2,941 |
$134K |
| 92133 |
|
2,101 |
2,088 |
$74K |
| 92136 |
|
1,537 |
1,512 |
$72K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
971 |
957 |
$32K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
456 |
448 |
$16K |
| 92083 |
|
403 |
400 |
$13K |
| 92134 |
|
120 |
118 |
$4K |
| 92002 |
|
58 |
58 |
$3K |
| 76514 |
|
158 |
156 |
$1K |
| 92020 |
|
43 |
42 |
$939.90 |
| 83861 |
|
51 |
26 |
$0.00 |