| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
724 |
679 |
$23K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
313 |
291 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
247 |
231 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
148 |
146 |
$10K |
| 92015 |
Determination of refractive state |
546 |
509 |
$9K |
| 92133 |
|
41 |
38 |
$588.26 |
| 92025 |
|
15 |
15 |
$165.20 |
| 92083 |
|
18 |
16 |
$161.06 |
| 92134 |
|
12 |
12 |
$155.70 |