| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,857 |
3,151 |
$355K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,705 |
1,390 |
$166K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,361 |
1,157 |
$91K |
| 99233 |
Prolong inpt eval add15 m |
319 |
170 |
$26K |
| 92015 |
Determination of refractive state |
1,223 |
1,001 |
$11K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
155 |
87 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36 |
35 |
$3K |
| 92060 |
|
241 |
215 |
$3K |
| 99072 |
|
409 |
391 |
$0.00 |
| 92201 |
|
15 |
13 |
$0.00 |