| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
701 |
611 |
$57K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
734 |
596 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
53 |
48 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
31 |
29 |
$4K |
| 92134 |
|
75 |
68 |
$1K |
| 92133 |
|
40 |
37 |
$361.14 |
| 92250 |
|
15 |
12 |
$157.99 |