| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,270 |
1,185 |
$74K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
940 |
909 |
$62K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
718 |
693 |
$32K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
121 |
117 |
$11K |
| 92002 |
|
181 |
170 |
$9K |
| 92015 |
Determination of refractive state |
2,162 |
2,076 |
$6K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
94 |
67 |
$4K |
| 92341 |
|
32 |
26 |
$2K |