| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
1,770 |
1,669 |
$31K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,451 |
1,367 |
$27K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
680 |
635 |
$18K |
| 92341 |
|
333 |
333 |
$10K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
262 |
262 |
$8K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,066 |
1,035 |
$6K |