| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
378 |
371 |
$34K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
545 |
508 |
$32K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
473 |
460 |
$32K |
| 92015 |
Determination of refractive state |
371 |
345 |
$1K |
| 92065 |
|
28 |
13 |
$883.17 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
16 |
14 |
$682.08 |