| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,702 |
1,363 |
$45K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
152 |
147 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
395 |
320 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
152 |
122 |
$8K |
| 92134 |
|
159 |
131 |
$4K |
| 67028 |
Intravitreal injection of a pharmacologic agent |
27 |
24 |
$4K |
| 92136 |
|
143 |
115 |
$3K |
| 92015 |
Determination of refractive state |
128 |
122 |
$679.49 |
| V2020 |
Frames, purchases |
15 |
13 |
$360.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
192 |
159 |
$0.00 |
| G8421 |
Bmi not documented and no reason is given |
194 |
161 |
$0.00 |