| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,564 |
1,562 |
$142K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,206 |
1,197 |
$127K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,045 |
1,035 |
$69K |
| 92015 |
Determination of refractive state |
2,732 |
2,721 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$1K |
| 92060 |
|
177 |
174 |
$802.55 |