| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,049 |
962 |
$216K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
780 |
731 |
$39K |
| 92015 |
Determination of refractive state |
1,309 |
1,187 |
$37K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
111 |
92 |
$18K |
| 99002 |
|
957 |
887 |
$5K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
18 |
18 |
$3K |
| 92341 |
|
18 |
18 |
$1K |