| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
6,153 |
6,098 |
$327K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,582 |
4,550 |
$267K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,246 |
7,173 |
$123K |
| 92015 |
Determination of refractive state |
11,163 |
10,797 |
$92K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,464 |
1,130 |
$51K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
658 |
474 |
$44K |
| 92250 |
|
718 |
696 |
$17K |
| 92065 |
|
494 |
242 |
$3K |
| 92225 |
|
19 |
14 |
$291.24 |
| 92060 |
|
14 |
14 |
$0.00 |