| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
414 |
406 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
174 |
171 |
$14K |
| 92225 |
|
533 |
270 |
$10K |
| 92226 |
|
449 |
227 |
$7K |
| 92015 |
Determination of refractive state |
341 |
341 |
$7K |
| 92002 |
|
230 |
230 |
$6K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
45 |
44 |
$4K |
| 2022F |
|
21 |
21 |
$0.00 |
| G0117 |
Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist |
16 |
16 |
$0.00 |