| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,219 |
1,107 |
$47K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,290 |
2,151 |
$43K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
425 |
392 |
$16K |
| 92015 |
Determination of refractive state |
1,054 |
902 |
$8K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$620.54 |