| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
597 |
593 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
843 |
833 |
$30K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
340 |
337 |
$29K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
363 |
354 |
$18K |
| 92083 |
|
272 |
271 |
$8K |
| 92133 |
|
357 |
352 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
113 |
111 |
$5K |
| 92015 |
Determination of refractive state |
580 |
578 |
$5K |
| 92020 |
|
374 |
371 |
$5K |
| 76514 |
|
15 |
13 |
$77.87 |