| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,037 |
963 |
$79K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
300 |
285 |
$45K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
102 |
98 |
$12K |
| 99233 |
Prolong inpt eval add15 m |
51 |
34 |
$8K |
| 99223 |
Prolong inpt eval add15 m |
16 |
15 |
$4K |
| 99254 |
|
13 |
13 |
$3K |
| 92060 |
|
206 |
184 |
$2K |
| 92015 |
Determination of refractive state |
1,058 |
1,012 |
$1K |
| 92226 |
|
122 |
44 |
$135.11 |
| 92225 |
|
30 |
14 |
$0.00 |
| 92201 |
|
55 |
43 |
$0.00 |