| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,172 |
1,083 |
$56K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,246 |
1,147 |
$48K |
| 92015 |
Determination of refractive state |
2,607 |
2,405 |
$47K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,276 |
1,198 |
$37K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
230 |
213 |
$5K |
| 92341 |
|
41 |
40 |
$1K |