| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,354 |
5,259 |
$549K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,913 |
1,857 |
$254K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
98 |
97 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
113 |
109 |
$10K |
| 92015 |
Determination of refractive state |
9,258 |
9,024 |
$7K |
| 92250 |
|
142 |
139 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
95 |
82 |
$6K |