| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,997 |
2,966 |
$198K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,318 |
3,283 |
$190K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,489 |
1,476 |
$136K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
420 |
387 |
$16K |
| 92341 |
|
32 |
31 |
$2K |
| 92250 |
|
13 |
13 |
$656.45 |
| 92015 |
Determination of refractive state |
12 |
12 |
$60.00 |