| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
273 |
273 |
$34K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
223 |
222 |
$23K |
| 92060 |
|
87 |
87 |
$5K |
| 92015 |
Determination of refractive state |
273 |
273 |
$5K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
53 |
49 |
$4K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
40 |
39 |
$1K |