| Code | Description | Claims | Beneficiaries | Total Paid |
| S0621 |
Routine ophthalmological examination including refraction; established patient |
12,587 |
11,122 |
$999K |
| S0620 |
Routine ophthalmological examination including refraction; new patient |
6,961 |
5,904 |
$646K |
| 92060 |
|
8,890 |
7,823 |
$341K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
14,127 |
11,598 |
$238K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,455 |
2,832 |
$167K |
| 99244 |
Office or other outpatient consultation, moderate to high complexity |
794 |
720 |
$108K |
| 92370 |
|
14,118 |
11,836 |
$88K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
747 |
633 |
$56K |
| 92015 |
Determination of refractive state |
2,688 |
2,145 |
$53K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
468 |
411 |
$36K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,067 |
1,037 |
$33K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
165 |
137 |
$18K |
| 67311 |
|
35 |
29 |
$13K |
| 99058 |
|
60 |
52 |
$936.77 |