| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,066 |
1,064 |
$71K |
| 92015 |
Determination of refractive state |
3,190 |
3,185 |
$45K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,340 |
2,332 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
220 |
220 |
$17K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
211 |
210 |
$10K |
| 92002 |
|
191 |
190 |
$8K |