| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,127 |
5,073 |
$248K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,056 |
2,042 |
$143K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,910 |
2,789 |
$121K |
| 92015 |
Determination of refractive state |
3,320 |
3,304 |
$45K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
256 |
177 |
$42K |
| 92134 |
|
870 |
807 |
$12K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
297 |
225 |
$11K |
| 92250 |
|
332 |
309 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
89 |
69 |
$3K |
| 92136 |
|
49 |
41 |
$1K |
| 92201 |
|
13 |
13 |
$760.00 |
| 92341 |
|
15 |
15 |
$537.30 |
| J9035 |
Injection, bevacizumab, 10 mg |
14 |
13 |
$433.80 |
| 92202 |
|
12 |
12 |
$44.52 |