| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,111 |
3,018 |
$284K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,211 |
2,167 |
$257K |
| 92015 |
Determination of refractive state |
6,635 |
6,453 |
$101K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,471 |
3,403 |
$98K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14 |
13 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
15 |
14 |
$971.78 |
| 92341 |
|
26 |
26 |
$831.21 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
13 |
$752.66 |