| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,991 |
2,385 |
$159K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,069 |
952 |
$56K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
755 |
573 |
$32K |
| 92226 |
|
1,538 |
990 |
$28K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
265 |
264 |
$19K |
| 92202 |
|
1,846 |
1,410 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
251 |
251 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
80 |
79 |
$7K |
| 92083 |
|
271 |
240 |
$6K |
| 92015 |
Determination of refractive state |
259 |
259 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
74 |
73 |
$3K |
| 92250 |
|
44 |
44 |
$934.81 |
| 92235 |
|
14 |
14 |
$602.88 |
| 92133 |
|
18 |
13 |
$285.79 |
| 92225 |
|
14 |
12 |
$225.69 |