| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
258 |
207 |
$33K |
| 92060 |
|
2,005 |
1,386 |
$31K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
121 |
82 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
89 |
55 |
$12K |
| 92015 |
Determination of refractive state |
1,167 |
756 |
$7K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
15 |
15 |
$6K |