| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
6,160 |
6,087 |
$307K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
2,672 |
2,643 |
$188K |
| 92015 |
Determination of refractive state |
4,921 |
4,854 |
$162K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
1,811 |
1,800 |
$97K |
| S0512 |
Daily wear specialty contact lens, per lens |
190 |
185 |
$55K |
| 92370 |
|
1,004 |
997 |
$34K |
| 92250 |
|
541 |
532 |
$21K |
| S0592 |
Comprehensive contact lens evaluation |
192 |
187 |
$11K |