| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
750 |
703 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
229 |
206 |
$8K |
| 92083 |
|
250 |
233 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
201 |
194 |
$3K |
| 92133 |
|
155 |
140 |
$2K |
| 92020 |
|
160 |
148 |
$2K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$659.45 |
| 92250 |
|
12 |
12 |
$356.53 |
| 92134 |
|
12 |
12 |
$258.07 |