| Code | Description | Claims | Beneficiaries | Total Paid |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
585 |
562 |
$27K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
863 |
827 |
$18K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
287 |
276 |
$15K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
242 |
231 |
$10K |
| 92341 |
|
275 |
271 |
$7K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
54 |
52 |
$828.59 |