| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,773 |
2,728 |
$261K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,700 |
1,676 |
$194K |
| 92015 |
Determination of refractive state |
6,383 |
6,288 |
$98K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
389 |
384 |
$27K |
| 92310 |
|
354 |
352 |
$26K |
| 92025 |
|
459 |
452 |
$14K |
| 92250 |
|
232 |
224 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
262 |
244 |
$8K |
| V2020 |
Frames, purchases |
65 |
65 |
$2K |
| 92083 |
|
29 |
28 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
27 |
27 |
$638.78 |
| 92285 |
|
41 |
39 |
$495.76 |
| 92133 |
|
13 |
13 |
$479.95 |
| 92286 |
|
12 |
12 |
$195.72 |