| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
8,193 |
7,923 |
$536K |
| 92060 |
|
7,103 |
6,955 |
$425K |
| 92250 |
|
3,033 |
2,998 |
$221K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
2,243 |
2,221 |
$217K |
| 92015 |
Determination of refractive state |
10,854 |
10,701 |
$197K |
| 92081 |
|
407 |
401 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
73 |
73 |
$7K |
| 92083 |
|
115 |
115 |
$7K |
| V2020 |
Frames, purchases |
93 |
93 |
$4K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
38 |
38 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
26 |
26 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
14 |
14 |
$556.00 |
| 92285 |
|
14 |
14 |
$255.71 |