| Code | Description | Claims | Beneficiaries | Total Paid |
| 92250 |
|
829 |
708 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
610 |
520 |
$22K |
| 92015 |
Determination of refractive state |
1,154 |
984 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
318 |
285 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
219 |
196 |
$13K |
| 92083 |
|
334 |
278 |
$9K |
| 92133 |
|
458 |
384 |
$8K |
| 92273 |
|
115 |
106 |
$6K |
| 92020 |
|
377 |
336 |
$5K |
| 83861 |
|
135 |
82 |
$2K |
| 92145 |
|
185 |
159 |
$1K |
| 83516 |
|
84 |
52 |
$793.88 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
21 |
18 |
$656.02 |
| 92275 |
|
14 |
12 |
$632.40 |
| 92283 |
|
19 |
13 |
$385.66 |