| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
538 |
531 |
$26K |
| 92015 |
Determination of refractive state |
670 |
655 |
$22K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
395 |
386 |
$14K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
76 |
72 |
$4K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
42 |
42 |
$3K |
| 92002 |
|
38 |
37 |
$2K |