| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,789 |
1,774 |
$184K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,872 |
2,826 |
$66K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
391 |
388 |
$48K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
108 |
78 |
$8K |
| 92015 |
Determination of refractive state |
12 |
12 |
$106.80 |