| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,860 |
1,857 |
$360K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,138 |
2,137 |
$353K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,203 |
1,195 |
$143K |
| 92015 |
Determination of refractive state |
3,650 |
3,646 |
$83K |
| 92060 |
|
674 |
673 |
$56K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
71 |
70 |
$11K |
| 92250 |
|
140 |
140 |
$7K |