| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,676 |
1,664 |
$70K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
827 |
815 |
$38K |
| 92015 |
Determination of refractive state |
2,051 |
2,014 |
$31K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
452 |
449 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
160 |
160 |
$7K |
| 3072F |
|
1,401 |
1,397 |
$10.00 |