| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
965 |
961 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
716 |
695 |
$18K |
| 92020 |
|
1,109 |
1,100 |
$12K |
| 92015 |
Determination of refractive state |
1,196 |
1,185 |
$9K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
150 |
147 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
19 |
19 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$1K |