| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,759 |
5,740 |
$371K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
4,937 |
4,909 |
$343K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
7,406 |
7,217 |
$139K |
| 92015 |
Determination of refractive state |
11,033 |
10,974 |
$107K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
392 |
366 |
$18K |
| 92250 |
|
544 |
537 |
$12K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
149 |
149 |
$10K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
29 |
29 |
$565.56 |