| Code | Description | Claims | Beneficiaries | Total Paid |
| 92065 |
|
4,795 |
3,052 |
$198K |
| 92015 |
Determination of refractive state |
5,528 |
5,420 |
$182K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,684 |
2,645 |
$140K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,762 |
2,711 |
$137K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,899 |
1,849 |
$135K |
| 92370 |
|
172 |
169 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
106 |
104 |
$4K |