| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
603 |
581 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
600 |
513 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
198 |
162 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
228 |
218 |
$6K |
| 68761 |
|
276 |
189 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
68 |
62 |
$1K |
| 92136 |
|
14 |
12 |
$255.22 |