| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,160 |
9,904 |
$426K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,616 |
9,383 |
$417K |
| 92015 |
Determination of refractive state |
16,354 |
16,052 |
$219K |
| 92310 |
|
395 |
377 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
81 |
77 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
52 |
52 |
$4K |
| 3072F |
|
279 |
264 |
$2K |
| 2023F |
|
101 |
97 |
$0.00 |
| 2022F |
|
25 |
25 |
$0.00 |