| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
393 |
382 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
278 |
256 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
164 |
162 |
$6K |
| 92083 |
|
52 |
51 |
$554.94 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
13 |
13 |
$501.00 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
12 |
$452.91 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
29 |
29 |
$188.79 |