| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,823 |
1,381 |
$88K |
| 92060 |
|
1,928 |
1,296 |
$43K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,361 |
1,002 |
$32K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
184 |
177 |
$6K |
| 92310 |
|
95 |
63 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
141 |
75 |
$3K |
| V2020 |
Frames, purchases |
159 |
146 |
$2K |
| 92065 |
|
50 |
37 |
$833.86 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
303 |
137 |
$683.26 |