| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,077 |
1,938 |
$402K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
1,404 |
1,344 |
$384K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
763 |
723 |
$105K |
| 92060 |
|
357 |
322 |
$39K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
101 |
98 |
$20K |
| 92015 |
Determination of refractive state |
3,140 |
2,963 |
$19K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
273 |
250 |
$10K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
35 |
29 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
39 |
39 |
$6K |