| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
834 |
834 |
$74K |
| 92015 |
Determination of refractive state |
2,038 |
2,020 |
$34K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
346 |
346 |
$28K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
76 |
76 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
86 |
83 |
$5K |
| 92083 |
|
17 |
15 |
$433.82 |
| 92133 |
|
27 |
25 |
$398.35 |