| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
853 |
803 |
$60K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
598 |
563 |
$45K |
| 92015 |
Determination of refractive state |
2,256 |
2,116 |
$33K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
527 |
446 |
$21K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
102 |
94 |
$7K |
| 92250 |
|
247 |
232 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
111 |
93 |
$5K |