| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,515 |
1,428 |
$124K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,861 |
1,683 |
$104K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
614 |
566 |
$43K |
| 92015 |
Determination of refractive state |
511 |
475 |
$19K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
142 |
139 |
$9K |
| 76519 |
|
322 |
297 |
$2K |
| 92002 |
|
17 |
17 |
$956.06 |
| 92201 |
|
58 |
58 |
$184.15 |
| 92083 |
|
29 |
28 |
$180.84 |
| 92133 |
|
29 |
28 |
$106.60 |