| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
630 |
630 |
$30K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
63 |
49 |
$10K |
| 92136 |
|
213 |
158 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
39 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
28 |
27 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |