| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,225 |
1,685 |
$111K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
111 |
99 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
98 |
86 |
$6K |
| 92002 |
|
61 |
57 |
$3K |
| 92132 |
|
156 |
143 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
31 |
26 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
13 |
12 |
$479.18 |
| 65222 |
|
22 |
13 |
$367.08 |