| Code | Description | Claims | Beneficiaries | Total Paid |
| 92060 |
|
15,370 |
15,263 |
$912K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,215 |
6,207 |
$637K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,641 |
4,641 |
$636K |
| 67311 |
|
1,165 |
1,053 |
$514K |
| 92250 |
|
9,013 |
8,991 |
$409K |
| 67314 |
|
455 |
423 |
$275K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,450 |
2,413 |
$200K |
| 67332 |
|
652 |
593 |
$161K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,320 |
1,318 |
$139K |
| 92015 |
Determination of refractive state |
7,948 |
7,895 |
$120K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
619 |
618 |
$97K |
| 92002 |
|
339 |
338 |
$25K |
| 92285 |
|
551 |
551 |
$12K |
| 92201 |
|
532 |
524 |
$11K |
| 92226 |
|
488 |
357 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
90 |
83 |
$5K |
| 92225 |
|
55 |
38 |
$1K |
| 92202 |
|
26 |
26 |
$323.51 |