| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
661 |
655 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
407 |
404 |
$10K |
| 92015 |
Determination of refractive state |
260 |
260 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
110 |
106 |
$3K |
| 92134 |
|
55 |
52 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$771.68 |