| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,433 |
1,415 |
$70K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
882 |
863 |
$54K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,554 |
1,513 |
$25K |
| 92015 |
Determination of refractive state |
3,104 |
3,041 |
$25K |
| 92341 |
|
137 |
134 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
27 |
$415.14 |