| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
639 |
606 |
$41K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
318 |
312 |
$21K |
| 92250 |
|
490 |
425 |
$16K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
81 |
79 |
$7K |
| 92083 |
|
132 |
123 |
$5K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
51 |
44 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
118 |
100 |
$3K |
| 92341 |
|
44 |
41 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
27 |
$1K |
| 92134 |
|
54 |
42 |
$1K |