| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,213 |
2,182 |
$71K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
619 |
615 |
$35K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,156 |
1,032 |
$26K |
| 92134 |
|
763 |
722 |
$12K |
| 83861 |
|
878 |
434 |
$10K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
40 |
26 |
$4K |
| 92133 |
|
179 |
177 |
$3K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
16 |
12 |
$2K |
| 92136 |
|
41 |
40 |
$655.33 |
| 92202 |
|
103 |
102 |
$246.74 |
| 92015 |
Determination of refractive state |
635 |
630 |
$54.24 |
| 76514 |
|
12 |
12 |
$51.80 |