| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,385 |
3,348 |
$203K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,690 |
1,670 |
$121K |
| 92015 |
Determination of refractive state |
6,111 |
6,028 |
$58K |
| V2799 |
Vision item or service, miscellaneous |
525 |
524 |
$52K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,623 |
2,528 |
$51K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,020 |
907 |
$38K |
| 92083 |
|
147 |
138 |
$4K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
47 |
41 |
$2K |
| 92133 |
|
71 |
69 |
$1K |
| 4004F |
|
13 |
13 |
$0.00 |
| 1036F |
|
88 |
87 |
$0.00 |