| Code | Description | Claims | Beneficiaries | Total Paid |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
321 |
310 |
$27K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
265 |
243 |
$20K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
907 |
701 |
$15K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
91 |
86 |
$13K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
144 |
136 |
$8K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
69 |
68 |
$7K |
| 92370 |
|
730 |
603 |
$5K |
| 92015 |
Determination of refractive state |
83 |
80 |
$2K |
| 92060 |
|
29 |
27 |
$993.05 |