| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,470 |
1,373 |
$53K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
604 |
579 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
284 |
274 |
$26K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
279 |
260 |
$14K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
161 |
153 |
$14K |
| 92015 |
Determination of refractive state |
1,521 |
1,426 |
$8K |
| 92060 |
|
294 |
272 |
$8K |
| 92002 |
|
139 |
131 |
$7K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
135 |
126 |
$6K |