| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,623 |
2,421 |
$121K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,126 |
1,948 |
$94K |
| 92015 |
Determination of refractive state |
4,801 |
4,453 |
$87K |
| 92250 |
|
837 |
759 |
$32K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
301 |
270 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
50 |
50 |
$2K |
| 92083 |
|
29 |
27 |
$813.71 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
21 |
12 |
$361.66 |