| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,697 |
4,695 |
$326K |
| 92015 |
Determination of refractive state |
5,794 |
5,788 |
$62K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
510 |
510 |
$44K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,998 |
1,993 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
662 |
628 |
$34K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
67 |
67 |
$3K |
| V2799 |
Vision item or service, miscellaneous |
28 |
28 |
$3K |