| Code | Description | Claims | Beneficiaries | Total Paid |
| 92083 |
|
274 |
270 |
$11K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
27 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
43 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
43 |
38 |
$2K |
| 92020 |
|
149 |
123 |
$2K |
| 92250 |
|
102 |
86 |
$2K |
| 92133 |
|
32 |
25 |
$615.45 |
| 92015 |
Determination of refractive state |
64 |
51 |
$400.30 |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
25 |
25 |
$193.43 |
| 92202 |
|
26 |
25 |
$174.73 |
| 4040F |
|
12 |
12 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
12 |
12 |
$0.00 |