| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
10,202 |
9,923 |
$499K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
7,666 |
7,509 |
$437K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
2,105 |
2,044 |
$119K |
| 92370 |
|
123 |
120 |
$4K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
58 |
49 |
$3K |
| 92015 |
Determination of refractive state |
139 |
119 |
$2K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
13 |
13 |
$303.07 |
| 92250 |
|
16 |
15 |
$0.00 |