| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,520 |
1,397 |
$131K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
813 |
768 |
$63K |
| 92083 |
|
712 |
667 |
$29K |
| 92015 |
Determination of refractive state |
735 |
676 |
$11K |
| 92133 |
|
274 |
256 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
107 |
102 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$822.98 |