| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,404 |
2,311 |
$159K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,676 |
1,659 |
$146K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,223 |
2,130 |
$140K |
| 92083 |
|
2,586 |
2,550 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
870 |
821 |
$42K |
| 92133 |
|
1,694 |
1,668 |
$32K |
| 92134 |
|
1,517 |
1,498 |
$31K |
| 92250 |
|
945 |
937 |
$21K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
359 |
359 |
$17K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
326 |
325 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
450 |
447 |
$9K |
| 65855 |
|
56 |
45 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
132 |
123 |
$6K |
| 92020 |
|
367 |
365 |
$5K |
| 92015 |
Determination of refractive state |
283 |
283 |
$3K |
| 92341 |
|
73 |
73 |
$2K |
| 76514 |
|
213 |
208 |
$1K |
| 76519 |
|
12 |
12 |
$294.15 |