| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
746 |
739 |
$49K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
680 |
678 |
$12K |
| 92015 |
Determination of refractive state |
1,117 |
1,111 |
$11K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
105 |
105 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
45 |
44 |
$2K |