| Code | Description | Claims | Beneficiaries | Total Paid |
| 92285 |
|
1,647 |
1,572 |
$13K |
| 92250 |
|
987 |
950 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,723 |
1,600 |
$10K |
| 92015 |
Determination of refractive state |
323 |
316 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
63 |
59 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
70 |
69 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
115 |
115 |
$1K |
| 92226 |
|
135 |
133 |
$1K |
| 92134 |
|
97 |
96 |
$225.58 |
| 92083 |
|
26 |
26 |
$129.36 |