| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,848 |
1,808 |
$70K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
720 |
717 |
$40K |
| 92083 |
|
390 |
341 |
$10K |
| 92133 |
|
486 |
425 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
147 |
147 |
$7K |
| 65855 |
|
50 |
41 |
$4K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
14 |
12 |
$2K |
| 92250 |
|
48 |
43 |
$713.12 |
| 92015 |
Determination of refractive state |
32 |
32 |
$454.82 |
| 76519 |
|
17 |
13 |
$401.96 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$269.97 |
| 76514 |
|
53 |
47 |
$140.98 |