| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,022 |
1,009 |
$54K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,448 |
1,429 |
$44K |
| 92250 |
|
1,391 |
1,379 |
$41K |
| 92083 |
|
1,172 |
1,156 |
$35K |
| 68761 |
|
622 |
537 |
$32K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
290 |
289 |
$21K |
| 65855 |
|
197 |
190 |
$19K |
| 92133 |
|
615 |
608 |
$12K |
| 92134 |
|
247 |
246 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
129 |
126 |
$4K |
| 92020 |
|
341 |
332 |
$4K |
| 92286 |
|
88 |
86 |
$3K |
| 92226 |
|
174 |
111 |
$2K |
| 92136 |
|
40 |
38 |
$667.87 |
| 92015 |
Determination of refractive state |
176 |
176 |
$613.19 |
| 92202 |
|
56 |
56 |
$422.22 |
| 92225 |
|
28 |
14 |
$327.00 |
| 92201 |
|
25 |
25 |
$326.50 |