| Code | Description | Claims | Beneficiaries | Total Paid |
| 92015 |
Determination of refractive state |
4,137 |
4,076 |
$84K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,314 |
1,278 |
$77K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,217 |
1,195 |
$38K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,077 |
1,019 |
$36K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,613 |
1,584 |
$33K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
721 |
706 |
$31K |
| 92341 |
|
827 |
811 |
$21K |
| 92250 |
|
784 |
773 |
$16K |
| 68761 |
|
438 |
189 |
$13K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
193 |
192 |
$10K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
147 |
144 |
$8K |
| 92083 |
|
342 |
334 |
$6K |
| 92082 |
|
172 |
171 |
$3K |
| V2020 |
Frames, purchases |
69 |
69 |
$2K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
28 |
28 |
$1K |
| 92133 |
|
91 |
88 |
$1K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
43 |
42 |
$63.88 |