| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
482 |
457 |
$28K |
| 92015 |
Determination of refractive state |
701 |
662 |
$21K |
| 92250 |
|
124 |
123 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
194 |
190 |
$3K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
87 |
84 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$502.80 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
15 |
15 |
$462.75 |
| 92225 |
|
13 |
13 |
$237.60 |