| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
4,474 |
4,174 |
$85K |
| 68761 |
|
417 |
404 |
$24K |
| 92083 |
|
931 |
928 |
$16K |
| 92134 |
|
1,067 |
1,057 |
$16K |
| 92133 |
|
816 |
813 |
$15K |
| 92060 |
|
1,917 |
1,836 |
$7K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
203 |
203 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
314 |
313 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
245 |
231 |
$3K |
| 92250 |
|
65 |
65 |
$2K |
| 92020 |
|
155 |
154 |
$546.89 |
| 92015 |
Determination of refractive state |
146 |
146 |
$233.91 |
| 92202 |
|
42 |
42 |
$40.10 |