| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
121 |
117 |
$8K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
14 |
14 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
70 |
66 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
87 |
85 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$1K |
| S9999 |
Sales tax |
84 |
75 |
$523.05 |
| 92083 |
|
12 |
12 |
$313.42 |