| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,979 |
1,902 |
$158K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,734 |
1,690 |
$119K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,602 |
4,329 |
$86K |
| 92015 |
Determination of refractive state |
4,104 |
3,854 |
$43K |
| V2799 |
Vision item or service, miscellaneous |
118 |
117 |
$11K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
159 |
150 |
$7K |
| 92250 |
|
322 |
316 |
$1K |
| 92083 |
|
27 |
26 |
$1K |