| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,720 |
1,410 |
$65K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,204 |
913 |
$37K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
472 |
377 |
$34K |
| 92250 |
|
414 |
353 |
$11K |
| 66982 |
|
44 |
25 |
$5K |
| 92083 |
|
187 |
151 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
185 |
145 |
$4K |
| 92136 |
|
238 |
153 |
$4K |
| 92134 |
|
284 |
235 |
$4K |
| 92133 |
|
238 |
186 |
$4K |
| 92002 |
|
14 |
12 |
$782.27 |
| 92285 |
|
42 |
31 |
$352.35 |
| 76514 |
|
18 |
12 |
$102.93 |