| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
464 |
461 |
$44K |
| 92015 |
Determination of refractive state |
977 |
969 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
192 |
179 |
$11K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
156 |
141 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
60 |
57 |
$6K |
| 92250 |
|
55 |
55 |
$3K |
| 92285 |
|
60 |
49 |
$1K |