| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,324 |
3,229 |
$158K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
746 |
721 |
$51K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
723 |
645 |
$23K |
| 92015 |
Determination of refractive state |
2,494 |
2,304 |
$23K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,083 |
1,050 |
$20K |