| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
7,509 |
7,179 |
$696K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,990 |
6,649 |
$528K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
6,319 |
5,878 |
$327K |
| 92060 |
|
4,642 |
4,375 |
$181K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
1,373 |
689 |
$68K |
| 92201 |
|
3,385 |
1,778 |
$65K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
653 |
493 |
$31K |
| 92226 |
|
1,377 |
576 |
$28K |
| 99222 |
Initial hospital care, per day, moderate complexity |
245 |
232 |
$22K |
| 92133 |
|
144 |
137 |
$4K |
| 92225 |
|
91 |
63 |
$2K |
| 92015 |
Determination of refractive state |
19 |
18 |
$0.00 |