| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,970 |
2,566 |
$413K |
| 92015 |
Determination of refractive state |
4,229 |
3,696 |
$108K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,083 |
1,875 |
$92K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
403 |
356 |
$70K |
| 92341 |
|
296 |
259 |
$15K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
28 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$743.91 |
| 92250 |
|
12 |
12 |
$629.69 |
| 99002 |
|
18 |
15 |
$54.50 |