| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
3,208 |
3,122 |
$49K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,340 |
1,281 |
$45K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,713 |
1,677 |
$36K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
771 |
743 |
$36K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
462 |
458 |
$28K |
| 92341 |
|
512 |
501 |
$13K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
172 |
167 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
71 |
68 |
$2K |
| 92133 |
|
115 |
113 |
$1K |
| 92250 |
|
41 |
40 |
$1K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
14 |
13 |
$750.88 |
| 99072 |
|
132 |
128 |
$0.00 |