| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
909 |
906 |
$42K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
394 |
394 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
569 |
567 |
$24K |
| 92020 |
|
2,395 |
2,391 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
326 |
320 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
104 |
103 |
$8K |
| 92286 |
|
671 |
670 |
$8K |
| 92202 |
|
1,599 |
1,597 |
$7K |
| 92285 |
|
622 |
601 |
$4K |
| 92134 |
|
308 |
308 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84 |
79 |
$2K |
| 92225 |
|
129 |
70 |
$1K |
| 92133 |
|
81 |
81 |
$700.40 |
| 92136 |
|
38 |
38 |
$402.33 |
| 92226 |
|
29 |
14 |
$287.80 |
| 92083 |
|
12 |
12 |
$150.27 |