| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,451 |
1,429 |
$109K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,164 |
1,143 |
$74K |
| 92082 |
|
2,550 |
2,510 |
$71K |
| 92250 |
|
2,507 |
2,464 |
$66K |
| 92341 |
|
1,796 |
1,767 |
$30K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,442 |
1,238 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$605.12 |
| 92015 |
Determination of refractive state |
485 |
484 |
$391.06 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
13 |
12 |
$196.90 |