| Code | Description | Claims | Beneficiaries | Total Paid |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
1,461 |
1,347 |
$21K |
| 92083 |
|
1,730 |
1,615 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
91 |
90 |
$8K |
| 92015 |
Determination of refractive state |
157 |
154 |
$6K |
| 92020 |
|
1,820 |
1,691 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
495 |
472 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
13 |
13 |
$853.63 |