| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
648 |
647 |
$59K |
| 92015 |
Determination of refractive state |
903 |
902 |
$26K |
| 99243 |
|
168 |
168 |
$23K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
235 |
232 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
445 |
445 |
$7K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
12 |
12 |
$761.88 |