| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,210 |
1,155 |
$57K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
988 |
921 |
$41K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
437 |
382 |
$15K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
169 |
169 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
162 |
148 |
$7K |
| 92015 |
Determination of refractive state |
354 |
283 |
$3K |
| 92285 |
|
201 |
193 |
$2K |
| 92134 |
|
16 |
13 |
$39.66 |