| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,930 |
1,880 |
$188K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,226 |
1,195 |
$143K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,259 |
3,186 |
$75K |
| 92015 |
Determination of refractive state |
2,799 |
2,713 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
43 |
41 |
$3K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
33 |
32 |
$3K |