| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,720 |
3,576 |
$161K |
| 92015 |
Determination of refractive state |
4,961 |
4,602 |
$90K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,431 |
1,332 |
$68K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,899 |
1,759 |
$46K |
| 92060 |
|
382 |
370 |
$11K |
| 92250 |
|
153 |
140 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
96 |
37 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
23 |
$3K |
| 92133 |
|
88 |
87 |
$2K |
| 92002 |
|
33 |
24 |
$915.90 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
21 |
12 |
$595.35 |
| 92134 |
|
25 |
25 |
$569.16 |