| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,186 |
3,099 |
$295K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,238 |
2,170 |
$219K |
| 92250 |
|
3,640 |
3,518 |
$116K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,716 |
3,648 |
$105K |
| 92015 |
Determination of refractive state |
5,680 |
5,546 |
$90K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
13 |
12 |
$720.24 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
16 |
16 |
$601.64 |