| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
3,202 |
2,777 |
$57K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
845 |
707 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
545 |
462 |
$35K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,046 |
867 |
$33K |
| 99205 |
Prolong outpt/office vis |
483 |
416 |
$30K |
| 99215 |
Prolong outpt/office vis |
632 |
576 |
$27K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
301 |
262 |
$12K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
83 |
78 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
36 |
35 |
$2K |
| 92133 |
|
15 |
15 |
$312.00 |