| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,555 |
2,320 |
$97K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,634 |
2,485 |
$93K |
| 92015 |
Determination of refractive state |
7,409 |
6,474 |
$90K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,226 |
2,090 |
$87K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,712 |
1,556 |
$43K |
| 92060 |
|
947 |
885 |
$16K |
| 92083 |
|
882 |
798 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
396 |
351 |
$9K |
| 92133 |
|
1,008 |
910 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
44 |
43 |
$3K |
| 92002 |
|
73 |
72 |
$2K |
| 92136 |
|
23 |
12 |
$148.61 |