| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,104 |
5,098 |
$522K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,116 |
2,114 |
$265K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,745 |
10,608 |
$252K |
| 92250 |
|
1,813 |
1,809 |
$75K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
425 |
423 |
$61K |
| 92082 |
|
1,538 |
1,535 |
$61K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
13 |
13 |
$2K |