| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,816 |
2,663 |
$193K |
| 92015 |
Determination of refractive state |
4,373 |
4,171 |
$67K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,603 |
1,541 |
$45K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
425 |
406 |
$33K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
127 |
123 |
$7K |