| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,910 |
3,807 |
$225K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,159 |
1,082 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
610 |
571 |
$22K |
| 92015 |
Determination of refractive state |
1,709 |
1,695 |
$21K |
| 92083 |
|
821 |
684 |
$20K |
| 92133 |
|
795 |
677 |
$13K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
135 |
112 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
27 |
27 |
$2K |
| 92134 |
|
43 |
38 |
$813.03 |