| Code | Description | Claims | Beneficiaries | Total Paid |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,397 |
1,315 |
$52K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
835 |
797 |
$48K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
534 |
497 |
$38K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,223 |
2,121 |
$37K |
| 92015 |
Determination of refractive state |
2,582 |
2,456 |
$21K |
| 92341 |
|
184 |
175 |
$3K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
35 |
32 |
$2K |