| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
4,097 |
4,056 |
$377K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,249 |
2,221 |
$258K |
| 92250 |
|
6,454 |
6,348 |
$242K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
4,666 |
4,580 |
$108K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
142 |
132 |
$9K |
| 92015 |
Determination of refractive state |
18 |
14 |
$112.70 |