| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
915 |
806 |
$49K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
595 |
522 |
$46K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
314 |
295 |
$25K |
| 92015 |
Determination of refractive state |
2,261 |
2,057 |
$21K |
| 92136 |
|
242 |
186 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
34 |
24 |
$679.38 |
| 92025 |
|
53 |
40 |
$677.77 |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
34 |
27 |
$640.99 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
15 |
13 |
$444.72 |