| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
811 |
779 |
$15K |
| 92015 |
Determination of refractive state |
338 |
306 |
$6K |
| 99205 |
Prolong outpt/office vis |
73 |
66 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
248 |
230 |
$4K |
| 92100 |
|
644 |
584 |
$3K |
| 99215 |
Prolong outpt/office vis |
102 |
101 |
$3K |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
127 |
123 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
174 |
164 |
$2K |
| 68761 |
|
27 |
14 |
$601.55 |
| 92083 |
|
16 |
14 |
$224.40 |
| 92133 |
|
15 |
13 |
$127.91 |
| 92020 |
|
17 |
15 |
$117.00 |