| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,136 |
5,123 |
$277K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,707 |
6,630 |
$170K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,374 |
1,373 |
$109K |
| 92015 |
Determination of refractive state |
4,305 |
4,286 |
$54K |
| 92342 |
|
340 |
335 |
$12K |
| 92370 |
|
1,014 |
996 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
347 |
338 |
$11K |
| 92341 |
|
229 |
227 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
130 |
130 |
$6K |
| 92002 |
|
14 |
14 |
$760.50 |