| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,175 |
3,169 |
$287K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,191 |
1,190 |
$126K |
| 92286 |
|
2,145 |
2,098 |
$85K |
| 92083 |
|
1,580 |
1,537 |
$77K |
| 92250 |
|
1,352 |
1,318 |
$60K |
| 92133 |
|
1,479 |
1,462 |
$37K |
| 92020 |
|
1,046 |
1,015 |
$22K |
| 93886 |
|
100 |
100 |
$19K |
| 93890 |
|
100 |
100 |
$18K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
273 |
248 |
$16K |
| 92273 |
|
168 |
167 |
$13K |
| 93892 |
|
100 |
100 |
$13K |
| 92015 |
Determination of refractive state |
348 |
313 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
28 |
26 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
18 |
18 |
$2K |
| 92275 |
|
12 |
12 |
$1K |
| 92145 |
|
83 |
82 |
$1K |
| 92134 |
|
15 |
15 |
$353.39 |