| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
931 |
915 |
$103K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
709 |
695 |
$91K |
| 92015 |
Determination of refractive state |
1,956 |
1,898 |
$31K |
| 92250 |
|
656 |
625 |
$18K |
| 92273 |
|
83 |
81 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
132 |
128 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
45 |
$4K |
| 92083 |
|
80 |
76 |
$4K |
| 92133 |
|
60 |
58 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
21 |
14 |
$998.51 |