| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,589 |
1,566 |
$59K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
597 |
562 |
$21K |
| 92250 |
|
783 |
768 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
188 |
175 |
$6K |
| 68761 |
|
75 |
71 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
74 |
73 |
$6K |
| 92133 |
|
83 |
83 |
$1K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
13 |
12 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
32 |
32 |
$1K |
| 92134 |
|
41 |
41 |
$350.30 |
| 92083 |
|
12 |
12 |
$274.59 |
| 92020 |
|
12 |
12 |
$96.22 |
| 0330T |
|
24 |
24 |
$92.58 |
| 0507T |
|
218 |
211 |
$0.00 |