| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,548 |
1,521 |
$19K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
2,870 |
2,829 |
$17K |
| 92341 |
|
287 |
283 |
$8K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
258 |
258 |
$7K |
| 92015 |
Determination of refractive state |
236 |
231 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
180 |
160 |
$4K |
| 92002 |
|
107 |
102 |
$995.51 |