| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
222 |
213 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
195 |
190 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
130 |
122 |
$10K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
89 |
87 |
$4K |
| 92015 |
Determination of refractive state |
115 |
107 |
$1K |
| 92133 |
|
29 |
28 |
$742.12 |
| 92202 |
|
30 |
28 |
$373.20 |
| 92134 |
|
12 |
12 |
$323.02 |