| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,582 |
1,537 |
$154K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,726 |
1,659 |
$135K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,796 |
1,718 |
$97K |
| 92060 |
|
1,381 |
1,314 |
$43K |
| 92201 |
|
1,035 |
557 |
$22K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
216 |
104 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
27 |
$2K |
| 99222 |
Initial hospital care, per day, moderate complexity |
12 |
12 |
$1K |
| 92226 |
|
23 |
13 |
$772.34 |