| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,215 |
2,159 |
$81K |
| 92060 |
|
2,516 |
2,245 |
$67K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
418 |
417 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
49 |
49 |
$4K |
| 99223 |
Prolong inpt eval add15 m |
12 |
12 |
$1K |
| 92225 |
|
13 |
12 |
$1K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
13 |
13 |
$690.58 |
| 92015 |
Determination of refractive state |
14 |
14 |
$47.93 |