| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
926 |
899 |
$17K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
154 |
146 |
$7K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
178 |
177 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
179 |
176 |
$4K |
| 92250 |
|
69 |
66 |
$1K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
27 |
24 |
$1K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
64 |
55 |
$850.50 |
| 92341 |
|
17 |
14 |
$327.13 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
14 |
12 |
$321.88 |