| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,681 |
9,330 |
$443K |
| 92015 |
Determination of refractive state |
12,321 |
11,954 |
$208K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,336 |
2,290 |
$102K |
| 92310 |
|
575 |
542 |
$32K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
668 |
665 |
$31K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
367 |
365 |
$16K |
| 92250 |
|
27 |
26 |
$959.04 |
| 3072F |
|
92 |
92 |
$10.00 |