| Code | Description | Claims | Beneficiaries | Total Paid |
| 92250 |
|
765 |
752 |
$40K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
879 |
818 |
$35K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
642 |
631 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
393 |
390 |
$33K |
| 92015 |
Determination of refractive state |
1,369 |
1,349 |
$25K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
401 |
364 |
$16K |