| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
1,491 |
1,424 |
$26K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,652 |
1,601 |
$20K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
657 |
636 |
$12K |
| 92341 |
|
319 |
317 |
$9K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
129 |
128 |
$4K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
390 |
381 |
$3K |