| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,044 |
4,039 |
$408K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,791 |
2,767 |
$186K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
806 |
805 |
$110K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
834 |
833 |
$100K |
| 92060 |
|
1,741 |
1,740 |
$90K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
231 |
230 |
$22K |
| 92015 |
Determination of refractive state |
1,061 |
1,061 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
214 |
212 |
$15K |