| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,135 |
1,956 |
$84K |
| 92060 |
|
2,430 |
2,240 |
$72K |
| 92015 |
Determination of refractive state |
3,724 |
3,403 |
$67K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
479 |
417 |
$32K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,005 |
871 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
101 |
88 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
27 |
27 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
33 |
33 |
$1K |