| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,396 |
2,376 |
$37K |
| 92015 |
Determination of refractive state |
1,973 |
1,921 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
480 |
470 |
$11K |
| 92250 |
|
245 |
238 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
25 |
25 |
$731.23 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
111 |
110 |
$704.90 |