| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,488 |
1,400 |
$55K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
713 |
694 |
$46K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,312 |
1,204 |
$35K |
| 92015 |
Determination of refractive state |
2,037 |
1,891 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
778 |
638 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
439 |
387 |
$18K |
| 92134 |
|
979 |
922 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
577 |
464 |
$9K |
| 92083 |
|
97 |
92 |
$2K |
| 92250 |
|
68 |
61 |
$2K |
| 92133 |
|
108 |
102 |
$2K |
| 92136 |
|
52 |
50 |
$2K |
| 92202 |
|
243 |
235 |
$1K |