| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
461 |
450 |
$19K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
623 |
617 |
$13K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
176 |
171 |
$10K |
| 92015 |
Determination of refractive state |
461 |
452 |
$8K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
64 |
62 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
44 |
$2K |
| 92341 |
|
42 |
40 |
$910.84 |
| 92250 |
|
25 |
24 |
$540.52 |