| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,566 |
2,526 |
$251K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,094 |
2,039 |
$130K |
| 92250 |
|
913 |
894 |
$44K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
412 |
383 |
$25K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
28 |
24 |
$5K |
| 92136 |
|
118 |
108 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
56 |
$2K |
| 92015 |
Determination of refractive state |
915 |
914 |
$2K |
| 99072 |
|
116 |
111 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$800.55 |
| 92133 |
|
13 |
13 |
$356.84 |