| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,078 |
2,788 |
$544K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,663 |
1,484 |
$255K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,087 |
4,725 |
$233K |
| 92015 |
Determination of refractive state |
6,204 |
5,718 |
$170K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,315 |
1,197 |
$140K |
| 92341 |
|
742 |
640 |
$36K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
108 |
104 |
$3K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
37 |
26 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
18 |
14 |
$1K |