| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
659 |
653 |
$36K |
| 92225 |
|
804 |
804 |
$34K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
149 |
148 |
$16K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
134 |
130 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
391 |
370 |
$15K |
| 92226 |
|
251 |
247 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
403 |
403 |
$8K |
| 92020 |
|
361 |
359 |
$7K |
| V2020 |
Frames, purchases |
352 |
352 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
142 |
142 |
$5K |
| 92015 |
Determination of refractive state |
466 |
461 |
$4K |
| 92083 |
|
46 |
46 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
12 |
12 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
16 |
16 |
$788.63 |
| 92133 |
|
20 |
20 |
$709.96 |
| 92134 |
|
12 |
12 |
$478.94 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
17 |
16 |
$286.69 |
| 92202 |
|
12 |
12 |
$132.56 |