| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
3,071 |
2,664 |
$55K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,199 |
1,068 |
$54K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
728 |
622 |
$33K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
457 |
383 |
$20K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
260 |
238 |
$16K |
| 92285 |
|
357 |
225 |
$10K |
| 92250 |
|
13 |
12 |
$345.01 |