| Code | Description | Claims | Beneficiaries | Total Paid |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
1,505 |
1,434 |
$97K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
897 |
877 |
$53K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,391 |
1,175 |
$44K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
540 |
520 |
$44K |
| 92012 |
Ophthalmological services: medical examination and evaluation, intermediate, established patient |
374 |
363 |
$16K |
| 92015 |
Determination of refractive state |
2,051 |
1,921 |
$16K |
| 92133 |
|
176 |
168 |
$6K |
| 92082 |
|
109 |
100 |
$4K |
| 92250 |
|
79 |
75 |
$3K |
| 92002 |
|
40 |
40 |
$2K |
| 92083 |
|
15 |
12 |
$487.40 |
| 76514 |
|
40 |
39 |
$302.75 |