| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,890 |
2,866 |
$210K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,266 |
2,230 |
$193K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,156 |
5,081 |
$106K |
| 92015 |
Determination of refractive state |
5,259 |
5,198 |
$59K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
91 |
83 |
$5K |
| 92341 |
|
51 |
49 |
$1K |
| 92250 |
|
25 |
24 |
$524.07 |
| 92083 |
|
13 |
13 |
$483.26 |
| 3072F |
|
160 |
160 |
$0.00 |
| 2022F |
|
17 |
15 |
$0.00 |