| Code | Description | Claims | Beneficiaries | Total Paid |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
80 |
80 |
$6K |
| 92060 |
|
205 |
203 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
76 |
75 |
$4K |
| 92225 |
|
124 |
122 |
$3K |
| 92015 |
Determination of refractive state |
318 |
311 |
$3K |
| 92283 |
|
118 |
117 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
48 |
44 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
36 |
36 |
$2K |
| 92285 |
|
151 |
146 |
$1K |