| Code | Description | Claims | Beneficiaries | Total Paid |
| 92250 |
|
2,301 |
1,828 |
$41K |
| 92015 |
Determination of refractive state |
1,645 |
1,435 |
$35K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,325 |
1,076 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,520 |
1,174 |
$29K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,976 |
1,507 |
$22K |
| 92083 |
|
1,352 |
1,048 |
$19K |
| 92133 |
|
948 |
755 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
456 |
365 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
94 |
78 |
$4K |
| 92132 |
|
51 |
43 |
$704.79 |
| 92020 |
|
32 |
28 |
$253.28 |
| 92202 |
|
44 |
35 |
$99.40 |
| 76514 |
|
19 |
15 |
$60.88 |