| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
546 |
545 |
$49K |
| 92250 |
|
707 |
705 |
$25K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
532 |
511 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
104 |
104 |
$9K |
| 92083 |
|
121 |
121 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
26 |
$3K |
| 92133 |
|
147 |
146 |
$3K |
| 92134 |
|
120 |
119 |
$2K |
| 92275 |
|
37 |
37 |
$2K |