| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
1,454 |
1,378 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
688 |
659 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
282 |
266 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
238 |
234 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
84 |
72 |
$2K |
| 92341 |
|
12 |
12 |
$354.60 |