| Code | Description | Claims | Beneficiaries | Total Paid |
| 92060 |
|
7,014 |
6,985 |
$547K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,149 |
3,146 |
$499K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,593 |
2,586 |
$486K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,301 |
1,266 |
$144K |
| 92250 |
|
1,571 |
1,567 |
$81K |
| 92015 |
Determination of refractive state |
6,570 |
6,549 |
$64K |
| 92285 |
|
239 |
238 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
24 |
$3K |
| 99051 |
|
14 |
14 |
$85.04 |
| 99072 |
|
320 |
314 |
$0.00 |