| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
772 |
746 |
$50K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
204 |
200 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
279 |
260 |
$17K |
| 92060 |
|
246 |
228 |
$12K |
| 92015 |
Determination of refractive state |
394 |
374 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
26 |
26 |
$1K |