| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,095 |
1,044 |
$217K |
| 92015 |
Determination of refractive state |
1,468 |
1,400 |
$41K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
334 |
330 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
88 |
82 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
50 |
44 |
$9K |
| 92341 |
|
12 |
12 |
$660.00 |