| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
10,457 |
10,091 |
$451K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
9,875 |
9,194 |
$447K |
| 92015 |
Determination of refractive state |
20,411 |
19,370 |
$337K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
786 |
780 |
$35K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
718 |
716 |
$32K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
504 |
502 |
$23K |
| 92310 |
|
360 |
315 |
$16K |