| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
850 |
813 |
$66K |
| 92015 |
Determination of refractive state |
4,605 |
4,455 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
730 |
640 |
$41K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
616 |
600 |
$36K |
| 92002 |
|
228 |
223 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
80 |
80 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
69 |
68 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
43 |
40 |
$4K |
| 92136 |
|
49 |
39 |
$848.50 |