| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,815 |
2,613 |
$156K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,345 |
3,231 |
$57K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
661 |
650 |
$39K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
259 |
252 |
$30K |
| 92015 |
Determination of refractive state |
2,761 |
2,698 |
$24K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
161 |
159 |
$13K |
| 92250 |
|
26 |
26 |
$769.97 |