| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
792 |
781 |
$56K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
448 |
442 |
$39K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
902 |
891 |
$19K |
| 92015 |
Determination of refractive state |
1,311 |
1,282 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
117 |
94 |
$5K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$840.68 |