| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
913 |
869 |
$81K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
454 |
434 |
$47K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
992 |
941 |
$25K |
| 92015 |
Determination of refractive state |
2,066 |
1,979 |
$11K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
15 |
15 |
$2K |