| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
390 |
381 |
$29K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
313 |
306 |
$6K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
38 |
37 |
$4K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
28 |
27 |
$3K |
| 92134 |
|
176 |
161 |
$3K |
| 92370 |
|
325 |
319 |
$2K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
163 |
136 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
22 |
13 |
$633.12 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
12 |
$509.69 |