| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
739 |
739 |
$53K |
| 92060 |
|
1,132 |
1,090 |
$40K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
941 |
560 |
$37K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
614 |
614 |
$34K |
| 92250 |
|
604 |
603 |
$27K |
| 92065 |
|
534 |
213 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
250 |
192 |
$9K |
| 92202 |
|
447 |
446 |
$7K |