| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,284 |
4,038 |
$148K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,837 |
1,831 |
$100K |
| 92015 |
Determination of refractive state |
2,246 |
2,237 |
$19K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
231 |
214 |
$3K |
| 92134 |
|
233 |
222 |
$2K |
| 92250 |
|
148 |
147 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
41 |
39 |
$888.15 |
| 92083 |
|
40 |
38 |
$701.15 |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
42 |
42 |
$311.70 |
| 92133 |
|
28 |
28 |
$201.61 |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
24 |
24 |
$134.98 |
| 99072 |
|
188 |
173 |
$0.00 |