| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,217 |
3,058 |
$313K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,597 |
2,463 |
$292K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,761 |
3,593 |
$104K |
| 92015 |
Determination of refractive state |
5,671 |
5,430 |
$90K |
| 92341 |
|
41 |
41 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$854.37 |