| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,058 |
1,048 |
$74K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
892 |
890 |
$70K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,851 |
1,779 |
$37K |
| 92015 |
Determination of refractive state |
2,221 |
2,203 |
$24K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
13 |
$608.35 |