| Code | Description | Claims | Beneficiaries | Total Paid |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
1,526 |
1,420 |
$109K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,271 |
3,188 |
$65K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
692 |
655 |
$63K |
| 92370 |
|
4,023 |
3,944 |
$29K |
| 92341 |
|
404 |
392 |
$8K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
256 |
153 |
$5K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
117 |
66 |
$1K |
| 92015 |
Determination of refractive state |
52 |
52 |
$32.95 |