| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,974 |
1,970 |
$141K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,462 |
1,459 |
$91K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,297 |
2,692 |
$54K |
| 92015 |
Determination of refractive state |
4,046 |
4,020 |
$34K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
322 |
318 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
173 |
173 |
$9K |