| Code | Description | Claims | Beneficiaries | Total Paid |
| 92083 |
|
1,579 |
1,502 |
$30K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,474 |
1,409 |
$28K |
| 92133 |
|
1,037 |
998 |
$11K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
356 |
323 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
316 |
302 |
$7K |
| 92226 |
|
1,079 |
673 |
$6K |
| 92020 |
|
808 |
769 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
118 |
110 |
$4K |
| 92250 |
|
157 |
155 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
49 |
46 |
$3K |
| 92134 |
|
222 |
209 |
$2K |
| 92225 |
|
268 |
173 |
$2K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
12 |
12 |
$1K |
| 92286 |
|
72 |
71 |
$1K |
| 92136 |
|
71 |
69 |
$969.03 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
39 |
$841.10 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
13 |
$650.08 |
| 76514 |
|
217 |
213 |
$600.85 |
| 92202 |
|
179 |
135 |
$594.31 |
| V2020 |
Frames, purchases |
12 |
12 |
$123.72 |