| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,862 |
1,782 |
$168K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,590 |
1,463 |
$92K |
| 92060 |
|
955 |
917 |
$38K |
| 92015 |
Determination of refractive state |
3,226 |
3,044 |
$36K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
491 |
463 |
$26K |
| 00142 |
|
284 |
219 |
$16K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
272 |
225 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
139 |
123 |
$6K |
| 92134 |
|
501 |
437 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
58 |
53 |
$5K |
| G2211 |
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) |
130 |
127 |
$1K |
| 92133 |
|
15 |
12 |
$286.27 |