| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12,194 |
9,945 |
$353K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,243 |
2,222 |
$152K |
| 92370 |
|
11,957 |
11,272 |
$137K |
| 92341 |
|
2,184 |
2,167 |
$78K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
365 |
364 |
$32K |
| 92015 |
Determination of refractive state |
1,461 |
1,451 |
$18K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
26 |
25 |
$947.25 |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
15 |
15 |
$660.45 |
| 92250 |
|
14 |
14 |
$429.16 |