| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
3,375 |
2,925 |
$47K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
289 |
248 |
$22K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
519 |
507 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
48 |
46 |
$3K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
15 |
14 |
$2K |