| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,168 |
3,163 |
$142K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,734 |
2,733 |
$118K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
5,999 |
5,987 |
$63K |
| 92250 |
|
1,030 |
1,026 |
$38K |
| 92081 |
|
1,588 |
1,588 |
$25K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
109 |
107 |
$10K |
| 92310 |
|
252 |
248 |
$4K |
| 92082 |
|
151 |
151 |
$2K |
| 92015 |
Determination of refractive state |
894 |
894 |
$0.00 |
| 2026F |
|
12 |
12 |
$0.00 |