| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,996 |
1,903 |
$86K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
954 |
902 |
$42K |
| 92015 |
Determination of refractive state |
2,170 |
2,046 |
$36K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
481 |
458 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
260 |
250 |
$8K |
| 92060 |
|
64 |
63 |
$2K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
32 |
32 |
$1K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
12 |
12 |
$557.40 |