| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
124 |
117 |
$13K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
122 |
80 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
82 |
77 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
77 |
66 |
$3K |