| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,160 |
1,073 |
$37K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
571 |
531 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
283 |
256 |
$11K |
| 92083 |
|
523 |
483 |
$10K |
| 92015 |
Determination of refractive state |
517 |
472 |
$9K |
| 92133 |
|
162 |
154 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
39 |
36 |
$2K |
| 92134 |
|
126 |
109 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
25 |
$1K |
| 92020 |
|
93 |
85 |
$818.98 |
| 76514 |
|
12 |
12 |
$68.29 |