| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,756 |
4,743 |
$291K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,800 |
4,631 |
$214K |
| 92015 |
Determination of refractive state |
9,195 |
8,884 |
$117K |
| 92225 |
|
1,466 |
726 |
$64K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
538 |
538 |
$58K |
| 92083 |
|
119 |
119 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
75 |
73 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
75 |
71 |
$2K |
| 92202 |
|
40 |
40 |
$2K |
| 092015 |
|
13 |
12 |
$0.00 |