| Code | Description | Claims | Beneficiaries | Total Paid |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
587 |
580 |
$42K |
| 92015 |
Determination of refractive state |
768 |
756 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
277 |
271 |
$11K |
| 92250 |
|
255 |
253 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
214 |
202 |
$5K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
129 |
122 |
$4K |
| 92060 |
|
87 |
84 |
$2K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
35 |
34 |
$2K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
28 |
28 |
$1K |
| 92285 |
|
12 |
12 |
$366.00 |