| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,303 |
4,085 |
$260K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,722 |
2,540 |
$214K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,791 |
6,399 |
$110K |
| 92015 |
Determination of refractive state |
7,783 |
7,374 |
$63K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
112 |
110 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
83 |
75 |
$2K |
| 92250 |
|
27 |
25 |
$800.10 |