| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,211 |
2,062 |
$197K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,595 |
1,511 |
$189K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,551 |
1,434 |
$103K |
| 92060 |
|
2,062 |
1,897 |
$82K |
| 92015 |
Determination of refractive state |
3,609 |
3,288 |
$60K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
505 |
401 |
$55K |
| 92226 |
|
276 |
148 |
$16K |
| 92201 |
|
301 |
227 |
$8K |
| 99231 |
Subsequent hospital care, per day, straightforward or low complexity |
170 |
125 |
$6K |
| 92225 |
|
51 |
39 |
$4K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
43 |
34 |
$3K |
| 92202 |
|
18 |
13 |
$228.01 |