| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
590 |
565 |
$26K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
836 |
816 |
$12K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
187 |
184 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
57 |
49 |
$1K |
| 92015 |
Determination of refractive state |
12 |
12 |
$0.00 |