| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
3,972 |
3,949 |
$275K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,459 |
3,435 |
$207K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
5,357 |
5,234 |
$93K |
| 92015 |
Determination of refractive state |
7,848 |
7,792 |
$73K |
| 92060 |
|
1,373 |
1,351 |
$41K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
171 |
166 |
$9K |
| 92370 |
|
522 |
508 |
$9K |
| V2799 |
Vision item or service, miscellaneous |
77 |
77 |
$8K |
| 97530 |
Therapeutic activities, direct patient contact, each 15 minutes |
80 |
26 |
$5K |
| 92341 |
|
63 |
63 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
29 |
28 |
$1K |