| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
568 |
556 |
$35K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
588 |
569 |
$24K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
901 |
871 |
$18K |
| 92015 |
Determination of refractive state |
898 |
857 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
262 |
247 |
$11K |
| 92341 |
|
224 |
216 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
55 |
53 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
49 |
45 |
$1K |