| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,567 |
1,416 |
$74K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
593 |
544 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
251 |
235 |
$16K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
415 |
405 |
$7K |
| 92250 |
|
29 |
27 |
$496.51 |
| 92015 |
Determination of refractive state |
303 |
268 |
$114.60 |
| 99072 |
|
43 |
42 |
$0.00 |