| Code | Description | Claims | Bene. Records | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
865 |
726 |
$32K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
331 |
260 |
$20K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
159 |
134 |
$6K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
30 |
28 |
$1K |