| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,666 |
1,589 |
$116K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
720 |
716 |
$77K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
339 |
339 |
$37K |
| 92083 |
|
206 |
206 |
$11K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
152 |
151 |
$7K |
| 92015 |
Determination of refractive state |
523 |
517 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
68 |
67 |
$5K |
| 99072 |
|
176 |
165 |
$3K |
| 92133 |
|
62 |
62 |
$2K |
| 92020 |
|
151 |
149 |
$1K |
| 92136 |
|
13 |
13 |
$691.99 |
| 92202 |
|
53 |
53 |
$671.38 |
| 76514 |
|
59 |
59 |
$541.34 |
| 92201 |
|
12 |
12 |
$296.50 |