| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,123 |
1,118 |
$123K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,405 |
1,234 |
$94K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
604 |
599 |
$49K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
140 |
140 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
112 |
111 |
$10K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
13 |
12 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
36 |
36 |
$3K |
| 92083 |
|
45 |
44 |
$2K |
| 92133 |
|
70 |
70 |
$2K |
| 92002 |
|
13 |
13 |
$985.23 |
| 76519 |
|
12 |
12 |
$495.51 |
| 92015 |
Determination of refractive state |
288 |
284 |
$151.68 |