| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,278 |
1,222 |
$59K |
| 92015 |
Determination of refractive state |
2,328 |
2,247 |
$42K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,341 |
1,309 |
$39K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
798 |
775 |
$31K |
| 92341 |
|
109 |
100 |
$3K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
69 |
66 |
$2K |