| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
498 |
460 |
$42K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
329 |
318 |
$22K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
406 |
385 |
$18K |
| 99222 |
Initial hospital care, per day, moderate complexity |
201 |
198 |
$17K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
456 |
416 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
62 |
60 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
83 |
70 |
$5K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
97 |
71 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
88 |
68 |
$3K |
| 92060 |
|
62 |
57 |
$2K |
| 92015 |
Determination of refractive state |
599 |
553 |
$2K |
| 92083 |
|
24 |
24 |
$1K |
| 92134 |
|
45 |
39 |
$723.50 |