| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,666 |
3,648 |
$251K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
982 |
981 |
$82K |
| 92015 |
Determination of refractive state |
5,104 |
5,080 |
$54K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,382 |
2,360 |
$44K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
644 |
575 |
$33K |
| V2799 |
Vision item or service, miscellaneous |
26 |
26 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
33 |
33 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
14 |
13 |
$464.00 |