| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
558 |
550 |
$45K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
614 |
608 |
$29K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
443 |
436 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
316 |
283 |
$10K |