| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,516 |
6,509 |
$438K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,375 |
4,362 |
$200K |
| 92015 |
Determination of refractive state |
13,984 |
13,946 |
$180K |
| 92082 |
|
461 |
460 |
$21K |
| 92250 |
|
588 |
584 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
93 |
84 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
70 |
63 |
$2K |
| 92285 |
|
49 |
42 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
36 |
32 |
$2K |
| 99072 |
|
86 |
86 |
$0.00 |