| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,987 |
1,973 |
$74K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
873 |
868 |
$38K |
| 92015 |
Determination of refractive state |
2,823 |
2,805 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
748 |
744 |
$9K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
253 |
236 |
$6K |
| 92250 |
|
483 |
471 |
$4K |
| 92083 |
|
109 |
109 |
$1K |
| 99072 |
|
52 |
52 |
$0.00 |