| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,257 |
2,222 |
$284K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,980 |
1,957 |
$200K |
| 92015 |
Determination of refractive state |
4,979 |
4,927 |
$122K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,482 |
1,416 |
$97K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
742 |
735 |
$53K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
863 |
844 |
$37K |