| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,379 |
3,153 |
$375K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,586 |
3,369 |
$342K |
| 92250 |
|
7,696 |
7,171 |
$255K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,340 |
4,999 |
$142K |
| 92015 |
Determination of refractive state |
8,161 |
7,656 |
$123K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
600 |
529 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
344 |
303 |
$27K |
| 68761 |
|
44 |
39 |
$7K |
| 92060 |
|
111 |
108 |
$6K |
| 99072 |
|
675 |
634 |
$5K |