| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
920 |
898 |
$93K |
| 92060 |
|
1,463 |
1,423 |
$63K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
431 |
420 |
$37K |
| 92015 |
Determination of refractive state |
1,470 |
1,436 |
$19K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
31 |
27 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
14 |
$1K |