| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
671 |
619 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,428 |
1,296 |
$22K |
| 92015 |
Determination of refractive state |
1,705 |
1,535 |
$13K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
79 |
71 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$1K |