| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,634 |
1,626 |
$56K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,754 |
1,728 |
$41K |
| 92250 |
|
1,632 |
1,625 |
$39K |
| 92083 |
|
1,198 |
1,191 |
$29K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
444 |
441 |
$25K |
| 92133 |
|
859 |
858 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
131 |
130 |
$7K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
61 |
58 |
$5K |
| 92136 |
|
162 |
161 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
75 |
$2K |
| 92020 |
|
260 |
259 |
$2K |
| 68761 |
|
24 |
12 |
$1K |
| 92202 |
|
219 |
219 |
$825.97 |
| 76514 |
|
137 |
135 |
$663.47 |
| 92226 |
|
98 |
73 |
$544.63 |
| 92225 |
|
26 |
15 |
$120.00 |
| 92015 |
Determination of refractive state |
78 |
78 |
$21.81 |