| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,561 |
1,401 |
$78K |
| 92015 |
Determination of refractive state |
2,204 |
1,979 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
656 |
561 |
$39K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
459 |
456 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
631 |
582 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
124 |
118 |
$4K |