| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
7,474 |
6,066 |
$215K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
4,046 |
3,207 |
$121K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,590 |
1,393 |
$41K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
56 |
55 |
$4K |
| 59430 |
|
14 |
14 |
$998.72 |
| 36410 |
|
103 |
81 |
$914.65 |
| 92015 |
Determination of refractive state |
378 |
314 |
$0.00 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
64 |
53 |
$0.00 |
| 99215 |
Prolong outpt/office vis |
87 |
77 |
$0.00 |
| 92083 |
|
13 |
13 |
$0.00 |