| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
132 |
125 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
119 |
111 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
27 |
27 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
17 |
16 |
$883.80 |
| 92060 |
|
24 |
24 |
$727.02 |