| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,393 |
1,387 |
$99K |
| 92015 |
Determination of refractive state |
3,086 |
3,074 |
$47K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
506 |
504 |
$41K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,296 |
2,287 |
$37K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
306 |
306 |
$17K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
196 |
192 |
$17K |