| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,803 |
1,720 |
$122K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
392 |
384 |
$32K |
| 92015 |
Determination of refractive state |
2,532 |
2,417 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
893 |
877 |
$16K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
40 |
26 |
$841.65 |