| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
514 |
447 |
$38K |
| 92015 |
Determination of refractive state |
758 |
515 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
48 |
44 |
$7K |
| 92002 |
|
52 |
48 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
58 |
51 |
$4K |
| 92083 |
|
49 |
40 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
37 |
24 |
$1K |