| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,213 |
1,102 |
$37K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
377 |
317 |
$6K |
| 92015 |
Determination of refractive state |
157 |
133 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
58 |
53 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
48 |
39 |
$700.80 |
| 92134 |
|
29 |
26 |
$493.83 |