| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
5,807 |
4,215 |
$296K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
314 |
257 |
$250K |
| 92250 |
|
8,406 |
3,486 |
$241K |
| 92002 |
|
3,235 |
2,605 |
$178K |
| 92015 |
Determination of refractive state |
2,500 |
2,050 |
$56K |
| 92285 |
|
3,105 |
1,617 |
$44K |
| 92100 |
|
239 |
212 |
$12K |
| 92136 |
|
162 |
114 |
$11K |
| 92134 |
|
330 |
234 |
$10K |
| 92083 |
|
158 |
101 |
$8K |
| 92133 |
|
147 |
99 |
$4K |
| 92225 |
|
282 |
125 |
$4K |
| 76514 |
|
133 |
86 |
$1K |
| 92132 |
|
133 |
86 |
$563.47 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
18 |
18 |
$365.91 |
| 99441 |
|
22 |
19 |
$351.60 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
24 |
$319.20 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
13 |
$259.30 |