| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,970 |
2,871 |
$186K |
| 92250 |
|
2,598 |
2,563 |
$84K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
837 |
822 |
$78K |
| 92015 |
Determination of refractive state |
3,027 |
2,986 |
$46K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,473 |
2,434 |
$42K |
| 92275 |
|
78 |
76 |
$6K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
28 |
27 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
31 |
30 |
$1K |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
12 |
12 |
$0.00 |