| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,596 |
4,318 |
$241K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,501 |
2,362 |
$181K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,066 |
1,025 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
143 |
109 |
$4K |
| 92250 |
|
148 |
136 |
$3K |
| 92015 |
Determination of refractive state |
1,897 |
1,795 |
$406.23 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
14 |
12 |
$338.49 |