| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
804 |
790 |
$38K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
578 |
551 |
$19K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
322 |
315 |
$15K |
| 92083 |
|
291 |
284 |
$8K |
| 92133 |
|
545 |
524 |
$7K |
| 92015 |
Determination of refractive state |
393 |
391 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
134 |
131 |
$2K |
| 92020 |
|
140 |
136 |
$2K |
| 92250 |
|
14 |
14 |
$522.49 |