| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
2,710 |
2,528 |
$100K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,050 |
1,005 |
$41K |
| 92250 |
|
782 |
728 |
$23K |
| 92083 |
|
1,014 |
959 |
$17K |
| 92133 |
|
903 |
867 |
$15K |
| 92015 |
Determination of refractive state |
1,870 |
1,791 |
$11K |
| 92020 |
|
959 |
909 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
82 |
81 |
$4K |
| 76514 |
|
168 |
164 |
$3K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
68 |
68 |
$1K |
| 92285 |
|
103 |
94 |
$140.39 |
| 4040F |
|
18 |
18 |
$0.00 |