| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,199 |
2,096 |
$194K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,463 |
1,424 |
$166K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,051 |
1,986 |
$57K |
| 92015 |
Determination of refractive state |
3,460 |
3,341 |
$54K |
| 92083 |
|
205 |
181 |
$8K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
128 |
102 |
$8K |
| 92250 |
|
12 |
12 |
$360.99 |
| 92133 |
|
12 |
12 |
$340.28 |
| 92025 |
|
12 |
12 |
$335.94 |