| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,266 |
2,872 |
$143K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,631 |
1,470 |
$73K |
| 92015 |
Determination of refractive state |
4,291 |
3,880 |
$72K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,088 |
1,842 |
$61K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
383 |
315 |
$17K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
24 |
24 |
$1K |