| Code | Description | Claims | Beneficiaries | Total Paid |
| 92250 |
|
946 |
939 |
$33K |
| 92083 |
|
689 |
684 |
$26K |
| 95930 |
|
376 |
373 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
196 |
196 |
$11K |
| 92273 |
|
172 |
171 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
86 |
86 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
151 |
146 |
$6K |
| 92020 |
|
240 |
238 |
$3K |
| 92133 |
|
15 |
15 |
$530.16 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$496.05 |