| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
3,488 |
3,252 |
$159K |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
2,119 |
2,027 |
$117K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,128 |
996 |
$64K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
370 |
357 |
$21K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
364 |
340 |
$16K |
| 92015 |
Determination of refractive state |
465 |
455 |
$13K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
247 |
204 |
$7K |
| 92250 |
|
282 |
193 |
$3K |
| 92083 |
|
195 |
131 |
$2K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
46 |
42 |
$1K |
| 92020 |
|
12 |
12 |
$468.22 |
| 92133 |
|
17 |
12 |
$178.83 |