| Code | Description | Claims | Beneficiaries | Total Paid |
| 76512 |
|
2,741 |
2,542 |
$383K |
| 68761 |
|
1,178 |
1,092 |
$231K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,283 |
1,179 |
$137K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
928 |
861 |
$72K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,955 |
2,635 |
$46K |
| 92015 |
Determination of refractive state |
2,924 |
2,723 |
$23K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
26 |
26 |
$2K |