| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,514 |
3,510 |
$462K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,701 |
3,698 |
$270K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,111 |
4,910 |
$262K |
| 92015 |
Determination of refractive state |
8,841 |
8,827 |
$177K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
709 |
638 |
$171K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,032 |
1,031 |
$165K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
616 |
614 |
$79K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
750 |
729 |
$75K |
| 92083 |
|
606 |
605 |
$27K |
| 92136 |
|
1,175 |
798 |
$18K |
| 92133 |
|
525 |
522 |
$13K |
| 92134 |
|
374 |
374 |
$12K |
| 92020 |
|
146 |
146 |
$3K |
| 76514 |
|
102 |
102 |
$770.21 |