| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
640 |
615 |
$40K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
271 |
264 |
$23K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
109 |
102 |
$5K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
73 |
70 |
$4K |
| 92002 |
|
44 |
44 |
$2K |
| 92015 |
Determination of refractive state |
92 |
80 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
30 |
25 |
$1K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
19 |
17 |
$1K |