| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,782 |
1,971 |
$55K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
365 |
205 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
188 |
88 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
140 |
77 |
$960.54 |
| 92015 |
Determination of refractive state |
3,459 |
1,875 |
$779.13 |
| 92134 |
|
1,435 |
782 |
$526.00 |
| 92133 |
|
374 |
198 |
$282.89 |
| 92250 |
|
381 |
142 |
$179.76 |
| 92083 |
|
200 |
112 |
$141.20 |
| 68761 |
|
104 |
39 |
$88.17 |
| 92136 |
|
15 |
13 |
$7.74 |
| 92286 |
|
16 |
15 |
$7.29 |