| Code | Description | Claims | Bene. Records | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
262 |
261 |
$28K |
| 92060 |
|
471 |
466 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
149 |
148 |
$19K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
92 |
90 |
$7K |
| 92015 |
Determination of refractive state |
411 |
409 |
$7K |
| 92250 |
|
76 |
74 |
$5K |
| 92285 |
|
252 |
244 |
$4K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
13 |
13 |
$1K |