| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
426 |
423 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
445 |
442 |
$20K |
| 92015 |
Determination of refractive state |
948 |
926 |
$17K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
432 |
432 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
59 |
56 |
$2K |