| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
11,893 |
11,652 |
$438K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,220 |
6,114 |
$407K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,398 |
4,325 |
$218K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
642 |
564 |
$13K |
| 92133 |
|
333 |
311 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
96 |
93 |
$3K |
| 92250 |
|
63 |
63 |
$3K |
| 92083 |
|
28 |
26 |
$996.85 |