| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,466 |
3,804 |
$432K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,820 |
3,940 |
$382K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,686 |
6,529 |
$182K |
| 92015 |
Determination of refractive state |
10,272 |
8,554 |
$137K |
| 92341 |
|
305 |
271 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
31 |
24 |
$2K |