| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,233 |
5,718 |
$615K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,490 |
4,054 |
$339K |
| 92015 |
Determination of refractive state |
11,540 |
10,248 |
$271K |
| 92083 |
|
1,281 |
1,237 |
$44K |
| 92250 |
|
1,287 |
1,240 |
$30K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
198 |
147 |
$10K |
| 92020 |
|
326 |
325 |
$6K |
| 2023F |
|
2,010 |
1,939 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
17 |
13 |
$0.00 |