| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,622 |
5,577 |
$207K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,084 |
4,052 |
$158K |
| 92015 |
Determination of refractive state |
10,094 |
9,987 |
$92K |
| 92310 |
|
443 |
441 |
$22K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
203 |
196 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
177 |
171 |
$11K |
| 2022F |
|
356 |
351 |
$2K |
| 2023F |
|
341 |
331 |
$0.00 |
| 3072F |
|
91 |
90 |
$0.00 |