| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,771 |
4,358 |
$283K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,276 |
1,207 |
$113K |
| 92015 |
Determination of refractive state |
9,305 |
8,648 |
$110K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,172 |
1,109 |
$67K |
| 92060 |
|
1,316 |
1,259 |
$62K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
854 |
813 |
$40K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
729 |
661 |
$24K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
194 |
184 |
$16K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
350 |
337 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
132 |
124 |
$5K |
| 92134 |
|
67 |
63 |
$1K |