| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,714 |
3,287 |
$161K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
2,794 |
2,506 |
$130K |
| 92015 |
Determination of refractive state |
4,078 |
3,624 |
$117K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
605 |
543 |
$38K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
582 |
489 |
$30K |
| S0592 |
Comprehensive contact lens evaluation |
475 |
385 |
$23K |
| 92370 |
|
363 |
245 |
$8K |
| S0512 |
Daily wear specialty contact lens, per lens |
17 |
12 |
$3K |
| 92250 |
|
39 |
37 |
$1K |