| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,116 |
1,685 |
$175K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,475 |
1,969 |
$119K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
908 |
786 |
$78K |
| 92015 |
Determination of refractive state |
631 |
541 |
$20K |
| 92250 |
|
1,773 |
1,449 |
$13K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
27 |
27 |
$11K |
| 92225 |
|
630 |
279 |
$5K |
| 92134 |
|
751 |
549 |
$3K |
| 92083 |
|
102 |
98 |
$3K |
| 92025 |
|
189 |
159 |
$2K |
| 92133 |
|
142 |
125 |
$1K |
| 76514 |
|
220 |
184 |
$840.79 |
| 83861 |
|
1,560 |
536 |
$778.64 |
| 92002 |
|
12 |
12 |
$315.62 |
| 92020 |
|
14 |
12 |
$86.32 |
| 99024 |
|
44 |
28 |
$0.00 |