| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,741 |
1,667 |
$86K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
514 |
512 |
$45K |
| 92250 |
|
1,487 |
1,481 |
$44K |
| 92134 |
|
1,107 |
1,095 |
$24K |
| 92083 |
|
550 |
549 |
$22K |
| 92133 |
|
374 |
374 |
$9K |
| 92020 |
|
347 |
340 |
$6K |
| 92201 |
|
453 |
440 |
$5K |
| 76514 |
|
331 |
331 |
$2K |
| 92060 |
|
27 |
27 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$722.35 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$515.50 |
| 76519 |
|
31 |
27 |
$442.04 |
| 92132 |
|
12 |
12 |
$258.21 |
| 92202 |
|
14 |
14 |
$86.54 |