| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,995 |
2,865 |
$193K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,491 |
2,381 |
$158K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
965 |
939 |
$83K |
| 92015 |
Determination of refractive state |
1,420 |
1,343 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$511.56 |