| Code | Description | Claims | Bene. Records | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,177 |
2,140 |
$145K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,759 |
1,734 |
$118K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
781 |
767 |
$70K |
| 92341 |
|
383 |
376 |
$26K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
336 |
287 |
$11K |
| 92370 |
|
286 |
279 |
$8K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
89 |
37 |
$2K |
| 92065 |
|
32 |
12 |
$948.59 |
| 92133 |
|
31 |
24 |
$748.40 |
| 92015 |
Determination of refractive state |
26 |
26 |
$121.32 |