| Code | Description | Claims | Beneficiaries | Total Paid |
| 92083 |
|
1,378 |
1,363 |
$59K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
350 |
343 |
$34K |
| 68761 |
|
276 |
153 |
$26K |
| 92133 |
|
781 |
775 |
$22K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
271 |
266 |
$19K |
| 92226 |
|
345 |
324 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$1K |
| 92201 |
|
64 |
64 |
$1K |
| 76514 |
|
53 |
52 |
$317.71 |
| 99072 |
|
14 |
14 |
$0.00 |