| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
305 |
282 |
$9K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
354 |
302 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
114 |
92 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
13 |
$814.70 |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
24 |
24 |
$761.20 |
| 92015 |
Determination of refractive state |
12 |
12 |
$216.94 |