| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,160 |
3,904 |
$272K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,308 |
2,205 |
$210K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,565 |
3,434 |
$97K |
| 92015 |
Determination of refractive state |
5,600 |
5,372 |
$63K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
100 |
82 |
$2K |