| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
982 |
980 |
$86K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
978 |
858 |
$65K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
960 |
824 |
$50K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
222 |
222 |
$25K |
| 92083 |
|
79 |
79 |
$4K |
| 92133 |
|
78 |
78 |
$2K |
| 92136 |
|
15 |
12 |
$335.27 |