| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,943 |
2,790 |
$133K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,387 |
2,195 |
$104K |
| 92015 |
Determination of refractive state |
6,090 |
5,655 |
$39K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
174 |
134 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
74 |
56 |
$3K |
| 92285 |
|
159 |
95 |
$1K |
| 92310 |
|
157 |
151 |
$0.00 |