| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,205 |
1,186 |
$76K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,053 |
1,024 |
$70K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,650 |
1,527 |
$29K |
| 92015 |
Determination of refractive state |
2,621 |
2,568 |
$24K |
| 92250 |
|
395 |
375 |
$9K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$972.48 |