| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
3,388 |
3,343 |
$67K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
1,118 |
1,102 |
$38K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
329 |
327 |
$20K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
266 |
262 |
$10K |
| 92002 |
|
158 |
154 |
$6K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
32 |
32 |
$1K |
| 3072F |
|
59 |
59 |
$0.00 |