| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,585 |
1,373 |
$138K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,712 |
1,483 |
$116K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,433 |
1,165 |
$47K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
946 |
740 |
$39K |
| 92015 |
Determination of refractive state |
2,552 |
2,265 |
$36K |
| 92083 |
|
556 |
433 |
$15K |
| 92060 |
|
281 |
266 |
$14K |
| 92250 |
|
853 |
640 |
$13K |
| 92201 |
|
455 |
363 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
62 |
57 |
$5K |
| 92133 |
|
229 |
191 |
$4K |
| 92226 |
|
275 |
86 |
$1K |
| 92020 |
|
71 |
55 |
$838.56 |
| 92225 |
|
91 |
29 |
$539.71 |