| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,213 |
3,199 |
$220K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,261 |
1,257 |
$130K |
| 92015 |
Determination of refractive state |
3,807 |
3,795 |
$32K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
421 |
407 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
334 |
327 |
$14K |
| 92133 |
|
114 |
113 |
$2K |
| 92134 |
|
24 |
24 |
$422.91 |
| 92083 |
|
13 |
13 |
$371.93 |