| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,072 |
2,072 |
$273K |
| 92250 |
|
1,803 |
1,803 |
$81K |
| 92020 |
|
1,987 |
1,984 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
141 |
141 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
113 |
113 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
69 |
65 |
$7K |
| 92083 |
|
12 |
12 |
$716.65 |
| 99072 |
|
26 |
26 |
$0.00 |