| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
647 |
627 |
$61K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
471 |
466 |
$54K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
518 |
502 |
$37K |
| 92015 |
Determination of refractive state |
1,315 |
1,287 |
$13K |
| 92060 |
|
446 |
424 |
$4K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
14 |
14 |
$347.56 |