| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
432 |
423 |
$27K |
| 92250 |
|
1,012 |
983 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,005 |
934 |
$18K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
213 |
193 |
$10K |
| 92015 |
Determination of refractive state |
783 |
774 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
12 |
12 |
$1K |