| Code | Description | Claims | Beneficiaries | Total Paid |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,505 |
1,432 |
$85K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
736 |
686 |
$28K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,331 |
1,248 |
$21K |
| 92015 |
Determination of refractive state |
2,461 |
2,302 |
$17K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
193 |
181 |
$15K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
218 |
204 |
$13K |
| 92341 |
|
136 |
131 |
$2K |
| 92134 |
|
20 |
20 |
$554.03 |
| 92083 |
|
13 |
13 |
$546.62 |
| 92133 |
|
14 |
14 |
$406.71 |