| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,014 |
6,649 |
$774K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,685 |
5,374 |
$490K |
| 92250 |
|
7,481 |
7,017 |
$200K |
| 92060 |
|
3,445 |
3,361 |
$186K |
| 68761 |
|
3,535 |
1,549 |
$180K |
| 92015 |
Determination of refractive state |
12,584 |
11,951 |
$139K |
| 92285 |
|
6,149 |
5,630 |
$94K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,098 |
1,023 |
$77K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
449 |
437 |
$49K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
592 |
533 |
$25K |
| 92083 |
|
613 |
569 |
$21K |
| 92273 |
|
211 |
199 |
$17K |
| 92082 |
|
442 |
407 |
$13K |
| 92133 |
|
302 |
281 |
$7K |
| 83861 |
|
93 |
45 |
$1K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
12 |
12 |
$790.00 |
| 92134 |
|
14 |
14 |
$398.93 |