| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
515 |
507 |
$32K |
| 92015 |
Determination of refractive state |
995 |
964 |
$21K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
204 |
199 |
$15K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
458 |
453 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
95 |
88 |
$3K |
| 99334 |
|
126 |
125 |
$3K |