| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
884 |
797 |
$89K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
385 |
317 |
$44K |
| 92015 |
Determination of refractive state |
2,028 |
1,761 |
$32K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
682 |
632 |
$21K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71 |
65 |
$4K |