| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
921 |
909 |
$36K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
730 |
692 |
$17K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
221 |
218 |
$13K |
| 92557 |
|
600 |
577 |
$11K |
| 92083 |
|
341 |
289 |
$8K |
| 92134 |
|
567 |
505 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
246 |
225 |
$7K |
| 92133 |
|
348 |
300 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
86 |
86 |
$5K |
| 69210 |
|
377 |
367 |
$5K |
| 92015 |
Determination of refractive state |
290 |
288 |
$3K |
| 92588 |
|
181 |
136 |
$2K |
| 92567 |
|
278 |
272 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
26 |
26 |
$2K |
| 95992 |
|
49 |
37 |
$486.32 |
| G0268 |
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing |
17 |
17 |
$224.80 |
| 92541 |
|
28 |
24 |
$94.92 |