| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
6,175 |
6,151 |
$254K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,295 |
5,166 |
$201K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,899 |
3,449 |
$169K |
| 92250 |
|
3,498 |
3,479 |
$134K |
| 92015 |
Determination of refractive state |
13,850 |
13,807 |
$122K |
| 92083 |
|
2,864 |
2,828 |
$47K |
| 92134 |
|
1,759 |
1,750 |
$41K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
464 |
463 |
$34K |
| 92133 |
|
702 |
699 |
$19K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
149 |
147 |
$11K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
155 |
154 |
$6K |
| 92025 |
|
109 |
107 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
937 |
895 |
$885.49 |