| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
894 |
805 |
$38K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
845 |
797 |
$34K |
| 92015 |
Determination of refractive state |
1,372 |
1,300 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
563 |
455 |
$15K |
| 92134 |
|
368 |
347 |
$6K |
| 92133 |
|
102 |
79 |
$2K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
18 |
18 |
$527.04 |