| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,651 |
1,565 |
$197K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
665 |
635 |
$124K |
| 92060 |
|
1,310 |
1,258 |
$96K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
388 |
375 |
$33K |
| 92015 |
Determination of refractive state |
1,601 |
1,501 |
$32K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
90 |
81 |
$4K |
| 92133 |
|
58 |
56 |
$2K |
| 92250 |
|
14 |
14 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |