| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,401 |
2,197 |
$76K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,224 |
1,126 |
$59K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,847 |
1,590 |
$35K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
549 |
478 |
$34K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
402 |
379 |
$16K |
| 92250 |
|
396 |
353 |
$11K |
| 92015 |
Determination of refractive state |
278 |
261 |
$5K |
| 92083 |
|
157 |
150 |
$4K |
| 92133 |
|
159 |
149 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
28 |
$789.68 |
| 76519 |
|
14 |
14 |
$425.79 |
| 92020 |
|
12 |
12 |
$196.98 |