| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,789 |
4,616 |
$229K |
| 92015 |
Determination of refractive state |
6,452 |
6,173 |
$115K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,470 |
1,415 |
$67K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
513 |
498 |
$23K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
203 |
203 |
$13K |