| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
12,711 |
10,731 |
$366K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
5,050 |
4,956 |
$218K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,299 |
2,279 |
$143K |
| 92015 |
Determination of refractive state |
7,405 |
7,345 |
$95K |
| 92341 |
|
1,433 |
1,386 |
$50K |
| 92250 |
|
753 |
750 |
$14K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
144 |
129 |
$5K |