| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
248 |
245 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
97 |
88 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89 |
88 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
28 |
27 |
$3K |
| 92134 |
|
177 |
174 |
$2K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
12 |
12 |
$2K |
| 92025 |
|
63 |
62 |
$2K |
| 92083 |
|
25 |
24 |
$708.78 |
| 92136 |
|
44 |
28 |
$328.70 |
| 92133 |
|
12 |
12 |
$231.37 |
| 76514 |
|
15 |
14 |
$74.34 |
| 92015 |
Determination of refractive state |
74 |
72 |
$21.36 |