| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,569 |
1,543 |
$105K |
| 92015 |
Determination of refractive state |
2,341 |
2,295 |
$43K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
400 |
390 |
$33K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,110 |
1,099 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
19 |
18 |
$462.56 |