| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,489 |
1,369 |
$84K |
| 92015 |
Determination of refractive state |
3,042 |
2,807 |
$39K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
307 |
292 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
304 |
303 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
62 |
49 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
31 |
26 |
$1K |