| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
456 |
454 |
$29K |
| 92250 |
|
501 |
499 |
$14K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
326 |
305 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
70 |
69 |
$7K |
| 92015 |
Determination of refractive state |
260 |
260 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
93 |
85 |
$3K |
| 92020 |
|
141 |
141 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
29 |
$1K |