| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
679 |
623 |
$35K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
411 |
390 |
$32K |
| 99243 |
|
223 |
218 |
$24K |
| 92060 |
|
434 |
393 |
$15K |
| 92015 |
Determination of refractive state |
815 |
786 |
$14K |
| 67311 |
|
12 |
12 |
$8K |
| 92226 |
|
134 |
74 |
$8K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
91 |
87 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
69 |
62 |
$7K |
| 92201 |
|
176 |
142 |
$4K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
32 |
31 |
$1K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
14 |
12 |
$1K |
| 92225 |
|
22 |
12 |
$515.60 |