| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
3,661 |
3,648 |
$204K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
1,766 |
1,737 |
$100K |
| 92015 |
Determination of refractive state |
5,454 |
5,413 |
$46K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,321 |
2,320 |
$30K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
166 |
154 |
$8K |
| 92250 |
|
295 |
294 |
$6K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
52 |
50 |
$3K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
12 |
12 |
$201.05 |