| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,582 |
1,577 |
$53K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,245 |
1,210 |
$40K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,501 |
1,494 |
$23K |
| 92083 |
|
666 |
660 |
$12K |
| 92133 |
|
544 |
539 |
$9K |
| 92250 |
|
332 |
331 |
$8K |
| 92201 |
|
482 |
482 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
115 |
115 |
$5K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
56 |
56 |
$4K |
| 92015 |
Determination of refractive state |
251 |
245 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
27 |
27 |
$263.76 |