| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,370 |
5,362 |
$413K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,816 |
2,809 |
$335K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,817 |
1,676 |
$85K |
| 92015 |
Determination of refractive state |
1,805 |
1,804 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
429 |
424 |
$20K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
236 |
236 |
$16K |
| 92020 |
|
880 |
876 |
$12K |
| 99051 |
|
377 |
375 |
$9K |
| 92133 |
|
37 |
36 |
$850.81 |