| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
3,202 |
2,915 |
$85K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,128 |
2,040 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
438 |
421 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
656 |
628 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
176 |
165 |
$11K |
| 92083 |
|
25 |
25 |
$800.54 |