| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
333 |
331 |
$31K |
| 92015 |
Determination of refractive state |
1,067 |
1,050 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
353 |
342 |
$14K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
52 |
51 |
$6K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
15 |
12 |
$561.30 |