| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
2,815 |
2,253 |
$70K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,906 |
1,710 |
$57K |
| 92250 |
|
1,333 |
991 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
621 |
519 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
453 |
361 |
$15K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
248 |
222 |
$14K |
| 92083 |
|
225 |
189 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
124 |
115 |
$3K |
| 92133 |
|
174 |
136 |
$3K |
| 92202 |
|
228 |
203 |
$965.89 |
| 92226 |
|
163 |
81 |
$729.14 |
| 92134 |
|
28 |
27 |
$399.00 |