| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
87 |
87 |
$4K |
| 92136 |
|
192 |
189 |
$4K |
| 92025 |
|
175 |
175 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
83 |
81 |
$4K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
14 |
12 |
$3K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
24 |
$1K |
| 92015 |
Determination of refractive state |
93 |
93 |
$706.90 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$605.79 |
| 92134 |
|
12 |
12 |
$120.61 |