| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
455 |
442 |
$47K |
| 92060 |
|
409 |
404 |
$23K |
| 92015 |
Determination of refractive state |
449 |
443 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
42 |
42 |
$6K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
76 |
75 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
26 |
25 |
$2K |
| 92226 |
|
64 |
25 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$767.91 |