| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,007 |
935 |
$71K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
332 |
308 |
$30K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
640 |
611 |
$15K |
| 92015 |
Determination of refractive state |
892 |
863 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
12 |
$512.50 |
| 92341 |
|
16 |
16 |
$455.36 |