| Code | Description | Claims | Beneficiaries | Total Paid |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,601 |
2,342 |
$201K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
2,600 |
2,331 |
$50K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
413 |
368 |
$39K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,553 |
1,262 |
$32K |
| 92370 |
|
4,020 |
3,625 |
$28K |
| 92341 |
|
1,184 |
1,123 |
$25K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
866 |
715 |
$24K |