| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
2,227 |
1,867 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
140 |
123 |
$6K |
| 92250 |
|
228 |
179 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
79 |
68 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70 |
57 |
$3K |
| 92002 |
|
49 |
48 |
$2K |
| 92083 |
|
32 |
27 |
$674.17 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
19 |
12 |
$541.52 |