| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,786 |
2,339 |
$406K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,531 |
2,116 |
$275K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
651 |
554 |
$107K |
| 92060 |
|
3,166 |
2,548 |
$45K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
98 |
97 |
$22K |
| 92015 |
Determination of refractive state |
2,940 |
2,470 |
$10K |
| 92250 |
|
117 |
90 |
$2K |
| 92083 |
|
133 |
101 |
$2K |