| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,072 |
4,657 |
$260K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,851 |
2,675 |
$197K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,956 |
2,498 |
$116K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,683 |
3,453 |
$60K |
| 92250 |
|
1,612 |
1,299 |
$20K |
| 92015 |
Determination of refractive state |
5,465 |
3,937 |
$12K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
314 |
272 |
$9K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
75 |
68 |
$6K |
| 92133 |
|
142 |
114 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
49 |
37 |
$2K |
| 83861 |
|
71 |
54 |
$668.15 |
| 92083 |
|
30 |
27 |
$399.74 |