| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
768 |
699 |
$34K |
| 92015 |
Determination of refractive state |
1,347 |
1,215 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
492 |
440 |
$21K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
600 |
531 |
$18K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
53 |
52 |
$2K |