| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,107 |
2,722 |
$135K |
| 92015 |
Determination of refractive state |
4,806 |
4,184 |
$97K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,556 |
1,470 |
$71K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
349 |
289 |
$19K |
| 66984 |
Extracapsular cataract removal with insertion of intraocular lens prosthesis |
25 |
12 |
$4K |
| 92136 |
|
58 |
24 |
$130.38 |