| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
807 |
803 |
$45K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
454 |
447 |
$35K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,022 |
1,014 |
$18K |
| 92015 |
Determination of refractive state |
1,315 |
1,307 |
$12K |
| 92341 |
|
92 |
92 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
58 |
57 |
$643.58 |