| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,119 |
3,039 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,114 |
1,106 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,401 |
1,366 |
$10K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
378 |
370 |
$4K |
| 92015 |
Determination of refractive state |
4,748 |
4,612 |
$3K |