| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,563 |
1,416 |
$114K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,675 |
2,288 |
$110K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,988 |
2,562 |
$87K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
841 |
734 |
$63K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,012 |
908 |
$53K |
| 92133 |
|
1,078 |
929 |
$25K |
| 92060 |
|
690 |
618 |
$22K |
| 92015 |
Determination of refractive state |
896 |
834 |
$15K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
250 |
222 |
$13K |
| 92083 |
|
240 |
203 |
$9K |
| 92134 |
|
381 |
316 |
$6K |
| 92136 |
|
134 |
73 |
$2K |
| 92250 |
|
14 |
13 |
$599.88 |
| 76514 |
|
30 |
25 |
$154.72 |