| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,818 |
1,746 |
$102K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
983 |
932 |
$73K |
| 92015 |
Determination of refractive state |
2,959 |
2,822 |
$40K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,415 |
1,378 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
228 |
192 |
$6K |
| 92133 |
|
13 |
12 |
$115.69 |