| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
1,923 |
1,795 |
$34K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
465 |
437 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
931 |
870 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
335 |
318 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
105 |
95 |
$5K |
| 92341 |
|
42 |
40 |
$1K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
12 |
12 |
$855.25 |