| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,691 |
2,289 |
$150K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,387 |
1,308 |
$81K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,210 |
1,174 |
$78K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
544 |
530 |
$47K |
| 92370 |
|
266 |
264 |
$7K |