| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
668 |
655 |
$58K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,386 |
1,355 |
$34K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
148 |
146 |
$15K |
| 92015 |
Determination of refractive state |
1,050 |
1,026 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
27 |
25 |
$2K |