| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
888 |
884 |
$44K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
529 |
526 |
$25K |
| 92015 |
Determination of refractive state |
1,642 |
1,637 |
$12K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
691 |
681 |
$11K |
| 92342 |
|
263 |
256 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
12 |
$916.24 |