| Code | Description | Claims | Beneficiaries | Total Paid |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
255 |
212 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
271 |
269 |
$6K |
| 92235 |
|
51 |
51 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
88 |
79 |
$1K |
| 92133 |
|
52 |
51 |
$605.82 |
| 92250 |
|
15 |
15 |
$322.22 |
| 92134 |
|
14 |
14 |
$189.84 |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$111.54 |