| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
9,434 |
9,424 |
$1.15M |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,877 |
4,877 |
$688K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,016 |
930 |
$86K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
756 |
756 |
$84K |
| 92015 |
Determination of refractive state |
9,263 |
9,240 |
$76K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
553 |
552 |
$75K |
| 92002 |
|
13 |
13 |
$1K |