| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,311 |
6,171 |
$498K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,824 |
1,777 |
$172K |
| 92015 |
Determination of refractive state |
8,549 |
8,348 |
$143K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,293 |
5,092 |
$107K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
535 |
523 |
$57K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
107 |
103 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
14 |
$964.24 |