| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
572 |
568 |
$33K |
| 92015 |
Determination of refractive state |
1,277 |
1,256 |
$13K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
270 |
259 |
$5K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
58 |
57 |
$4K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$579.59 |