| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
1,691 |
1,647 |
$18K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
648 |
623 |
$12K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
166 |
163 |
$10K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
304 |
297 |
$9K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
67 |
65 |
$2K |
| 92250 |
|
71 |
70 |
$2K |
| 92341 |
|
19 |
16 |
$428.52 |
| 2023F |
|
33 |
33 |
$0.00 |