| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,218 |
4,086 |
$295K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
3,738 |
3,269 |
$174K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,560 |
1,525 |
$128K |
| 92015 |
Determination of refractive state |
7,632 |
7,404 |
$81K |
| 92083 |
|
1,209 |
1,135 |
$42K |
| 92341 |
|
1,590 |
1,561 |
$41K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,516 |
1,506 |
$34K |
| 92133 |
|
676 |
648 |
$14K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
136 |
129 |
$12K |
| 92134 |
|
26 |
25 |
$609.93 |
| 92370 |
|
17 |
17 |
$225.00 |