| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,891 |
1,657 |
$121K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,574 |
1,368 |
$71K |
| 92015 |
Determination of refractive state |
4,290 |
3,497 |
$39K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
524 |
396 |
$23K |
| 92002 |
|
78 |
69 |
$4K |
| G8397 |
Dilated macular or fundus exam performed, including documentation of the presence or absence of macular edema and level of severity of retinopathy |
14 |
14 |
$0.00 |
| 2023F |
|
733 |
638 |
$0.00 |