| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
3,327 |
2,898 |
$54K |
| 92002 |
|
501 |
416 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
346 |
287 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
225 |
215 |
$4K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
115 |
99 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
34 |
26 |
$2K |